Thomas, Walter

Thomas, Walter is an sole proprietor health care provider with primary practice located at 12044 Braddock Dr , Culver City CA 90230-5811. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Thomas, Walter can be contacted via phone (310) 398-6408.

Contact Information

Primary practice address
12044 Braddock Dr Culver City CA 90230-5811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA15198 California

Profile Details

NPI number 1154516789
LBN Legal business name Thomas, Walter
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2007
Last updated Sep 6th, 2007 - 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.

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