Thomas, Terisa Ann

Thomas, Terisa Ann is an sole proprietor health care provider with primary practice located at 800 Goodyear Avenue Suite B, Gadsden AL 35903. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Thomas, Terisa Ann can be contacted via phone (256) 549-0067.

Contact Information

Primary practice address
800 Goodyear Avenue Suite B Gadsden AL 35903
Fax: (256) 549-0206
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00023391 Alabama

Profile Details

NPI number 1336246321
LBN Legal business name Thomas, Terisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Oct 27th, 2015 - 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 1336246321 NPPES
Alabama MEDICAID 529917180

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