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
Phone: (310) 398-6408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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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