Thomas, Michael Anthony
Thomas, Michael Anthony is an sole proprietor health care provider with primary practice located at 212 N Sycamore St , Petersburg VA 23803-3248. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thomas, Michael Anthony can be contacted via phone (804) 919-1199.Contact Information
Primary practice address
212 N Sycamore St
Petersburg VA 23803-3248
Phone: (804) 919-1199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701003107 | Virginia |
Profile Details
| NPI number | 1144232919 |
|---|---|
| LBN Legal business name | Thomas, Michael Anthony |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1144232919 | NPPES |
| Virginia | MEDICAID | 0101111692 |
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