Thomas, Robert
Thomas, Robert is an sole proprietor health care provider with primary practice located at 1900 Kirby Pkwy Ste 102 , Germantown TN 38138-3653. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Thomas, Robert can be contacted via phone (901) 753-4724.Contact Information
Primary practice address
1900 Kirby Pkwy Ste 102
Germantown TN 38138-3653
Phone: (901) 753-4724
Fax: (901) 759-5920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Ocularist | 156FX1700X |
Profile Details
| NPI number | 1376696054 |
|---|---|
| LBN Legal business name | Thomas, Robert |
| Credentials | B.C.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Feb 19th, 2008 - 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 | 1376696054 | NPPES |
| Tennessee | MEDICAID | 3554760 | |
| Tennessee | Other | 0165655 |
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