Walden, Thomas Bruce
Walden, Thomas Bruce is an sole proprietor health care provider with primary practice located at 3729 Easton Nazareth Hwy , Easton PA 18045-8344. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Walden, Thomas Bruce can be contacted via phone (610) 253-3333.Contact Information
Primary practice address
3729 Easton Nazareth Hwy
Easton PA 18045-8344
Phone: (610) 253-3333
Fax: (610) 258-8189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD021534E | Pennsylvania |
Profile Details
| NPI number | 1508852930 |
|---|---|
| LBN Legal business name | Walden, Thomas Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508852930 | NPPES |
| Pennsylvania | MEDICAID | 0007331530005 |
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