Thomas, Jerry R.
Thomas, Jerry R. is an individual health care provider with primary practice located at 11055 Little Patuxent Pkwy Ste L1 , Columbia MD 21044-2897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Thomas, Jerry R. can be contacted via phone (410) 740-7030.Contact Information
Primary practice address
11055 Little Patuxent Pkwy Ste L1
Columbia MD 21044-2897
Phone: (410) 740-7030
Fax: (410) 740-7033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0050349 | Maryland |
Profile Details
| NPI number | 1720113251 |
|---|---|
| LBN Legal business name | Thomas, Jerry R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Oct 14th, 2022 - about 2 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 | 1720113251 | NPPES |
| Maryland | Other | 1073960 | CIGNA |
| Maryland | Other | 5017704 | CIGNA |
| Maryland | Other | 75866504 | CIGNA |
| Maryland | Other | 1059004 | CIGNA |
| Maryland | Other | 202970 | CIGNA |
| Maryland | MEDICAID | 699718000 | CIGNA |
| Maryland | Other | 9450-0004 | CIGNA |
| Maryland | Other | P00265255 | CIGNA |
| Maryland | Other | 493892 | CIGNA |
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