Dolph, Thomas
Dolph, Thomas is an sole proprietor health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dolph, Thomas can be contacted via phone (928) 283-2432.Contact Information
Primary practice address
167 North Main Street
Tuba City AZ 86045
Phone: (928) 283-2432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 3946 | Montana |
| Pharmacy Service Providers / Pharmacist | 183500000X | 15100 | Nevada |
Profile Details
| NPI number | 1942751011 |
|---|---|
| LBN Legal business name | Dolph, Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2016 |
| Last updated | Oct 24th, 2016 - about 10 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 | 1942751011 | NPPES |
| Montana | Other | 3946 | PHARMACIST LICENSE |
| Montana | Other | 15100 | PHARMACIST LICENSE |
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