Thanos, Nicholas John

Thanos, Nicholas John is an individual health care provider with primary practice located at 2262 N State College Blvd , Fullerton CA 92831-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Thanos, Nicholas John can be contacted via phone (714) 990-2900.

Contact Information

Primary practice address
2262 N State College Blvd Fullerton CA 92831-1361
Phone: (714) 990-2900
Fax: (714) 990-3133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G35873 California

Profile Details

NPI number 1427088194
LBN Legal business name Thanos, Nicholas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 27th, 2014 - about 12 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 1427088194 NPPES
California Other G35873 MEDICAL LICENSE NUMBER
California MEDICAID 00G358730 MEDICAL LICENSE NUMBER
California Other DL109Z MEDICAL LICENSE NUMBER

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