Firth, Thomas A

Firth, Thomas A is an individual health care provider with primary practice located at 1445 Gateway Blvd , Cottage Grove OR 97424-0026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Firth, Thomas A can be contacted via phone (541) 942-7000.

Contact Information

Primary practice address
1445 Gateway Blvd Cottage Grove OR 97424-0026
Phone: (541) 942-7000
Fax: (541) 942-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15091 Oregon

Profile Details

NPI number 1215936661
LBN Legal business name Firth, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 20th, 2013 - about 12 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 1215936661 NPPES
Oregon Other 110155238 RR MEDICARE
Oregon MEDICAID 070425 RR MEDICARE

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