Thomas, Gerald L
Thomas, Gerald L is an sole proprietor health care provider with primary practice located at 44555 Woodward Ave Suite 105, Pontiac MI 48341-5031. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thomas, Gerald L can be contacted via phone (248) 335-2977.Contact Information
Primary practice address
44555 Woodward Ave Suite 105
Pontiac MI 48341-5031
Phone: (248) 335-2977
Fax: (248) 858-3880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5601003758 | Michigan |
Profile Details
| NPI number | 1336361443 |
|---|---|
| LBN Legal business name | Thomas, Gerald L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336361443 | NPPES |
| Michigan | Other | P00135174 | RAILROAD MEDICARE |
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