Patota, Thomas Joseph

Patota, Thomas Joseph is an sole proprietor health care provider with primary practice located at 1413 Annapolis Road Suite #207, Odenton MD 21113. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Patota, Thomas Joseph can be contacted via phone (774) 202-5121.

Contact Information

Primary practice address
1413 Annapolis Road Suite #207 Odenton MD 21113
Phone: (774) 202-5121
Fax: (301) 593-6648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1017034 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16733 Maryland

Profile Details

NPI number 1306878376
LBN Legal business name Patota, Thomas Joseph
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Mar 6th, 2020 - about 6 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 1306878376 NPPES
Massachusetts MEDICAID 1892215

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