Thomas, Heidi Sult

Thomas, Heidi Sult is an individual health care provider with primary practice located at 1275 Wallace Rd Nw , Salem OR 97304-3007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thomas, Heidi Sult can be contacted via phone (503) 371-3232.

Contact Information

Primary practice address
1275 Wallace Rd Nw Salem OR 97304-3007
Fax: (503) 375-2398
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13511 Oregon

Profile Details

NPI number 1356342091
LBN Legal business name Thomas, Heidi Sult
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 16th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356342091 NPPES
Oregon MEDICAID 286761

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