Thomas, Serena A
Thomas, Serena A is an individual health care provider with primary practice located at 12896 Grey St , Logan OH 43138-9638. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Thomas, Serena A can be contacted via phone (740) 380-6354.Contact Information
Primary practice address
12896 Grey St
Logan OH 43138-9638
Phone: (740) 380-6354
Fax: (740) 380-3592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 0500240 | Ohio |
Profile Details
| NPI number | 1982195764 |
|---|---|
| LBN Legal business name | Thomas, Serena A |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2018 |
| Last updated | Feb 28th, 2019 - about 6 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 | 1982195764 | NPPES |
| Ohio | MEDICAID | 2864002 | |
| Ohio | MEDICAID | 2314525 |
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