Streeter, Thomas T

Streeter, Thomas T is an individual health care provider with primary practice located at 2509 W March Ln Suite 250, Stockton CA 95207-8252. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Streeter, Thomas T can be contacted via phone (209) 957-1000.

Contact Information

Primary practice address
2509 W March Ln Suite 250 Stockton CA 95207-8252
Phone: (209) 957-1000
Fax: (209) 957-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A23450 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A23450 California

Profile Details

NPI number 1811962145
LBN Legal business name Streeter, Thomas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 15th, 2008 - about 17 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 1811962145 NPPES
California MEDICAID 00A234500
California Other 1386636165

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