Hausam, Thomas J

Hausam, Thomas J is an individual health care provider with primary practice located at 1150 Whitehouse Canyon Rd , Green Valley AZ 85614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hausam, Thomas J can be contacted via phone (520) 625-3691.

Contact Information

Primary practice address
1150 Whitehouse Canyon Rd Green Valley AZ 85614
Phone: (520) 625-3691
Fax: (520) 625-2894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14547 Arkansas

Profile Details

NPI number 1245212943
LBN Legal business name Hausam, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 20th, 2012 - about 14 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 1245212943 NPPES
Arizona MEDICAID 820705

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