Thomas, Robert R

Thomas, Robert R is an individual health care provider with primary practice located at 4015 Lake Otis Pkwy Suite 201, Anchorage AK 99508-5211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thomas, Robert R can be contacted via phone (907) 771-3500.

Contact Information

Primary practice address
4015 Lake Otis Pkwy Suite 201 Anchorage AK 99508-5211
Phone: (907) 771-3500
Fax: (907) 771-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1586 Alaska

Profile Details

NPI number 1104805597
LBN Legal business name Thomas, Robert R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Feb 22nd, 2012 - about 12 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 1104805597 NPPES
Other 205515193 FED TAX ID
MEDICAID MD34481 FED TAX ID

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