Dea, Thomas D

Dea, Thomas D is an individual health care provider with primary practice located at 5633 N Lidgerwood St , Spokane WA 99208-1224. 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. Dea, Thomas D can be contacted via phone (509) 482-2460.

Contact Information

Primary practice address
5633 N Lidgerwood St Spokane WA 99208-1224
Phone: (509) 482-2460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003775 Washington

Profile Details

NPI number 1003888108
LBN Legal business name Dea, Thomas D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003888108 NPPES
Washington Other 0210988 LABOR & INDUSTRIES
Washington Other 000010157088 LABOR & INDUSTRIES
Washington Other 6767DE LABOR & INDUSTRIES
Washington Other P00418396 LABOR & INDUSTRIES
Washington MEDICAID 8417271 LABOR & INDUSTRIES

Popular Providers