Thomas, William Mark
Thomas, William Mark is an individual health care provider with primary practice located at 15763 Imperial Hwy , La Mirada CA 90638-2510. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thomas, William Mark can be contacted via phone (562) 943-4132.Contact Information
Primary practice address
15763 Imperial Hwy
La Mirada CA 90638-2510
Phone: (562) 943-4132
Fax: (562) 304-2917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC24637 | California |
Profile Details
| NPI number | 1609873082 |
|---|---|
| LBN Legal business name | Thomas, William Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Mar 10th, 2008 - about 16 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 | 1609873082 | NPPES |
| California | Other | ZZZ64074Z | BLUE SHIELD |
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