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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1831174747 NPPES
California MEDICAID 00G505530

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