Nordahl, Thomas Edward
Nordahl, Thomas Edward is an individual health care provider with primary practice located at 2230 Stockton Blvd , Sacramento CA 95817-1419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nordahl, Thomas Edward can be contacted via phone (916) 734-2972.Contact Information
Primary practice address
2230 Stockton Blvd
Sacramento CA 95817-1419
Phone: (916) 734-2972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G050553 | California |
Profile Details
| NPI number | 1831174747 |
|---|---|
| LBN Legal business name | Nordahl, Thomas Edward |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 16 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 | 1831174747 | NPPES |
| California | MEDICAID | 00G505530 |
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