Thomas, Jeffrey Michael

Thomas, Jeffrey Michael is an individual health care provider with primary practice located at 350 Hawthorne Ave , Oakland CA 94609-3108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thomas, Jeffrey Michael can be contacted via phone (866) 325-0282.

Contact Information

Primary practice address
350 Hawthorne Ave Oakland CA 94609-3108
Phone: (866) 325-0282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18396 California

Profile Details

NPI number 1437289832
LBN Legal business name Thomas, Jeffrey Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1437289832 NPPES
California MEDICAID PENDING

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