Bastholm, Thomas George

Bastholm, Thomas George is an sole proprietor health care provider with primary practice located at 1540 Savannah Rd , Lewes DE 19958-1682. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bastholm, Thomas George can be contacted via phone (302) 645-2020.

Contact Information

Primary practice address
1540 Savannah Rd Lewes DE 19958-1682
Fax: (302) 645-2223
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X DEI30001133 Delaware

Profile Details

NPI number 1295808848
LBN Legal business name Bastholm, Thomas George
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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