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
Phone: (302) 645-2020
Fax: (302) 645-2223
Website:
Health care specialties
| Specialty | Code | License # | 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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