Frye, Thomas Gaston

Frye, Thomas Gaston is an sole proprietor health care provider with primary practice located at 1651 Centennial Blvd , Springfield OR 97477-3363. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Frye, Thomas Gaston can be contacted via phone (541) 762-4532.

Contact Information

Primary practice address
1651 Centennial Blvd Springfield OR 97477-3363
Phone: (541) 762-4532
Fax: (541) 726-2467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16-R-09 Oregon

Profile Details

NPI number 1598138257
LBN Legal business name Frye, Thomas Gaston
Credentials CADC II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2015
Last updated Jul 21st, 2022 - about 4 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 1598138257 NPPES
Missouri Other 5863 CERTIFIED RECIPROCAL ALCOHOL AND DRUG COUNSELOR
Missouri Other 16-R-09 CERTIFIED RECIPROCAL ALCOHOL AND DRUG COUNSELOR

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