Garrison, Thomas J

Garrison, Thomas J is an individual health care provider with primary practice located at 4071 Tates Creek Centre Dr Suite 202, Lexington KY 40517-3062. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Garrison, Thomas J can be contacted via phone (859) 277-7129.

Contact Information

Primary practice address
4071 Tates Creek Centre Dr Suite 202 Lexington KY 40517-3062
Phone: (859) 277-7129
Fax: (859) 277-9613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA009 Kentucky

Profile Details

NPI number 1396730701
LBN Legal business name Garrison, Thomas J
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Dec 2nd, 2020 - about 5 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 1396730701 NPPES
Kentucky MEDICAID 95004396

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