Pickett, Thomas Richard

Pickett, Thomas Richard is an individual health care provider with primary practice located at 1050 Delaware Ave , Marion OH 43302-6416. 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 Richard can be contacted via phone (740) 383-7770.

Contact Information

Primary practice address
1050 Delaware Ave Marion OH 43302-6416
Phone: (740) 383-7770
Fax: (740) 383-7848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002283 Ohio

Profile Details

NPI number 1104919414
LBN Legal business name Pickett, Thomas Richard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 23rd, 2015 - about 11 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 1104919414 NPPES
Ohio MEDICAID 0071609

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