Thomas, Mary Ann

Thomas, Mary Ann is an sole proprietor health care provider with primary practice located at 1775 Chestnut Ave , Long Beach CA 90813-1674. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Health Educator, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Thomas, Mary Ann can be contacted via phone (562) 412-2077.

Contact Information

Primary practice address
1775 Chestnut Ave Long Beach CA 90813-1674
Phone: (562) 412-2077
Fax: (888) 792-6665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X California
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information 246Y00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 71767 California

Profile Details

NPI number 1679057590
LBN Legal business name Thomas, Mary Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2018
Last updated Jun 11th, 2019 - about 5 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 1679057590 NPPES
California Other 150072238 ADULT EDUCATION INSTRUCTOR
California Other 71767 ADULT EDUCATION INSTRUCTOR
California Other 170063421 ADULT EDUCATION INSTRUCTOR

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