Valais, Thamara
Valais, Thamara is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Valais, Thamara can be contacted via phone (217) 876-3000.Contact Information
Primary practice address
2300 N Edward St
Decatur IL 62526-4163
Phone: (217) 876-3000
Fax: (217) 876-3077
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085003789 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 0110005098 | Virginia |
Profile Details
NPI number | 1912211616 |
---|---|
LBN Legal business name | Valais, Thamara |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2010 |
Last updated | Mar 22nd, 2024 - about last year |
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 | 1912211616 | NPPES |
Virginia | MEDICAID | 30016761640003 |
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