Thomassen, John Michael
Thomassen, John Michael is an sole proprietor health care provider with primary practice located at 2800 E Commercial Blvd Suite 103, Ft Lauderdale FL 33308-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Thomassen, John Michael can be contacted via phone (954) 771-0200.Contact Information
Primary practice address
2800 E Commercial Blvd Suite 103
Ft Lauderdale FL 33308-4229
Phone: (954) 771-0200
Fax: (954) 208-5171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME 95272 | Florida |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD 33673 | District of Columbia |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 0101231653 | Virginia |
Profile Details
| NPI number | 1104835925 |
|---|---|
| LBN Legal business name | Thomassen, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 18th, 2013 - about 12 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 | 1104835925 | NPPES |
| Florida | MEDICAID | 276131900 |
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