Primavera, Thomas David

Primavera, Thomas David is an individual health care provider with primary practice located at 785 Se Bayshore Dr Suite 102, Oak Harbor WA 98277-4062. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Primavera, Thomas David can be contacted via phone (360) 279-8323.

Contact Information

Primary practice address
785 Se Bayshore Dr Suite 102 Oak Harbor WA 98277-4062
Phone: (360) 279-8323
Fax: (360) 279-8772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT00000933 Washington

Profile Details

NPI number 1821129685
LBN Legal business name Primavera, Thomas David
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Feb 17th, 2015 - 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 1821129685 NPPES
Washington Other 0189569 DEPT OF LABOR & INDUSTRIE

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