Pickett, Thomas

Pickett, Thomas is an individual health care provider with primary practice located at 15230 Lakeshore Dr , Clearlake CA 95422-8107. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pickett, Thomas can be contacted via phone (707) 995-4500.

Contact Information

Primary practice address
15230 Lakeshore Dr Clearlake CA 95422-8107
Phone: (707) 995-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1407494818
LBN Legal business name Pickett, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Aug 17th, 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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