Bouasy, Thomas
Bouasy, Thomas is an individual health care provider with primary practice located at 400 Old River Rd , Bakersfield CA 93311-9781. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bouasy, Thomas can be contacted via phone (661) 663-6275.Contact Information
Primary practice address
400 Old River Rd
Bakersfield CA 93311-9781
Phone: (661) 663-6275
Fax: (661) 326-8022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17818 | California |
Profile Details
| NPI number | 1740269026 |
|---|---|
| LBN Legal business name | Bouasy, Thomas |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | May 10th, 2011 - about 15 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 | 1740269026 | NPPES |
| California | Other | AO427Y | MEDICARE PTAN-TRUXTUN |
| California | Other | AO427X | MEDICARE PTAN-TRUXTUN |
| California | Other | AO427Z | MEDICARE PTAN-TRUXTUN |
| California | MEDICAID | PA17818 | MEDICARE PTAN-TRUXTUN |
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