Thomas, Jerry Frank
Thomas, Jerry Frank is an individual health care provider with primary practice located at 2315 Myrtle St Ste L90 , Erie PA 16502-4607. 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, Jerry Frank can be contacted via phone (814) 452-7575.Contact Information
Primary practice address
2315 Myrtle St Ste L90
Erie PA 16502-4607
Phone: (814) 452-7575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA051584 | Pennsylvania |
Profile Details
| NPI number | 1720084437 |
|---|---|
| LBN Legal business name | Thomas, Jerry Frank |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Mar 15th, 2024 - about 9 months 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 | 1720084437 | NPPES |
| Other | 13742206 | CAQH |
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