Gilbert, Thomas
Gilbert, Thomas is an sole proprietor health care provider with primary practice located at 3205 Katie Lynn Dr , Champaign IL 61822-8524. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gilbert, Thomas can be contacted via phone (760) 504-4464.Contact Information
Primary practice address
3205 Katie Lynn Dr
Champaign IL 61822-8524
Phone: (760) 504-4464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 193203320-120 | Nevada |
Profile Details
| NPI number | 1285066746 |
|---|---|
| LBN Legal business name | Gilbert, Thomas |
| Credentials | M.A.R. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2013 |
| Last updated | Aug 6th, 2013 - about 13 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 | 1285066746 | NPPES |
| Illinois | Other | 193203320-120 | ORDAINED PASTOR |
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