Vascik, Thomas Michael
Vascik, Thomas Michael is an sole proprietor health care provider with primary practice located at 1717 South J Street , Tacoma WA 98405-4933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vascik, Thomas Michael can be contacted via phone (253) 426-6660.Contact Information
Primary practice address
1717 South J Street
Tacoma WA 98405-4933
Phone: (253) 426-6660
Fax: (253) 426-6250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PA10004026 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004026 | Washington |
Profile Details
| NPI number | 1063468403 |
|---|---|
| LBN Legal business name | Vascik, Thomas Michael |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Nov 21st, 2011 - about 13 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 | 1063468403 | NPPES |
| Washington | Other | 0154972 | LIWA |
| Washington | Other | 2165VA | LIWA |
| Washington | Other | 2164VA | LIWA |
| Washington | Other | BSWA | LIWA |
| Washington | Other | 0190072 | LIWA |
| Washington | Other | 0206067 | LIWA |
| Washington | MEDICAID | 8349052 | LIWA |
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