Fawcett, Thomas Allen
Fawcett, Thomas Allen is an individual health care provider with primary practice located at 2817 Rock Merritt Avenue , Fort Liberty NC 28301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fawcett, Thomas Allen can be contacted via phone (910) 907-7668.Contact Information
Primary practice address
2817 Rock Merritt Avenue
Fort Liberty NC 28301
Phone: (910) 907-7668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 31810 | North Carolina |
Profile Details
| NPI number | 1104995497 |
|---|---|
| LBN Legal business name | Fawcett, Thomas Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 3rd, 2024 - about 2 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 | 1104995497 | NPPES |
| North Carolina | MEDICAID | 89127TG |
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