Duckett, Thomas

Duckett, Thomas is an individual health care provider with primary practice located at 500 Doyle Park Dr Ste 303 , Santa Rosa CA 95405-4559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Duckett, Thomas can be contacted via phone (707) 575-1833.

Contact Information

Primary practice address
500 Doyle Park Dr Ste 303 Santa Rosa CA 95405-4559
Phone: (707) 575-1833
Fax: (707) 575-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G58176 California

Profile Details

NPI number 1790700532
LBN Legal business name Duckett, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790700532 NPPES
California MEDICAID 00G581760
California Other ZZZ19545Z

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