Swanson, Thomas R
Swanson, Thomas R is an individual health care provider with primary practice located at 1821 Douglas Blvd Suite C4, Roseville CA 95661-2910. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Swanson, Thomas R can be contacted via phone (916) 786-6633.Contact Information
Primary practice address
1821 Douglas Blvd Suite C4
Roseville CA 95661-2910
Phone: (916) 786-6633
Fax: (916) 786-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 06570TPL | California |
Profile Details
| NPI number | 1598735912 |
|---|---|
| LBN Legal business name | Swanson, Thomas R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 7th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598735912 | NPPES |
| California | Other | DE3871 | RAILROAD MEDICARE |
| California | Other | P00289444 | RAILROAD MEDICARE |
| California | MEDICAID | SD0065700 | RAILROAD MEDICARE |
| California | Other | OPT 6570 TPL | RAILROAD MEDICARE |
| California | Other | SD0065700 | RAILROAD MEDICARE |
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