Thomas, Pamela

Thomas, Pamela is an individual health care provider with primary practice located at 7950 W Jefferson Blvd Suite 210, Fort Wayne IN 46804-4140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Thomas, Pamela can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7950 W Jefferson Blvd Suite 210 Fort Wayne IN 46804-4140
Fax: (260) 434-6420
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01053135A Indiana
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 01053135A Indiana

Profile Details

NPI number 1013973536
LBN Legal business name Thomas, Pamela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jun 11th, 2013 - about 11 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 1013973536 NPPES
Indiana MEDICAID 200288570A

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