Patterson, Thomas S

Patterson, Thomas S is an individual health care provider with primary practice located at 777 N Raymond St , Boise ID 83704-9251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Patterson, Thomas S can be contacted via phone (208) 514-2500.

Contact Information

Primary practice address
777 N Raymond St Boise ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M7458 Idaho

Profile Details

NPI number 1467442467
LBN Legal business name Patterson, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 15th, 2016 - about 10 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 1467442467 NPPES
Idaho MEDICAID 805185100
Idaho Other 000010034815
Idaho Other 45187
Idaho Other 370014214
Idaho Other 806353600
Idaho Other 000010004870
Idaho Other DM743
Idaho MEDICAID 1467442467

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