Douglas, Thomas G

Douglas, Thomas G is an individual health care provider with primary practice located at 108 S Hickory St , Mount Vernon MO 65712-1407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Douglas, Thomas G can be contacted via phone (417) 466-4110.

Contact Information

Primary practice address
108 S Hickory St Mount Vernon MO 65712-1407
Phone: (417) 466-4110
Fax: (417) 466-4255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011016629 Missouri

Profile Details

NPI number 1851686182
LBN Legal business name Douglas, Thomas G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 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.

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