Thase, Michael E

Thase, Michael E is an individual health care provider with primary practice located at 3535 Market Street 3Rd Floor, Philadelphia PA 19104-3309. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Behavioral Health & Social Service Providers / Psychoanalyst, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Thase, Michael E can be contacted via phone (215) 746-6700.

Contact Information

Primary practice address
3535 Market Street 3Rd Floor Philadelphia PA 19104-3309
Phone: (215) 746-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD024464E Pennsylvania
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X MD024464E Pennsylvania
Other Service Providers / Specialist 174400000X MD024464E Pennsylvania

Profile Details

NPI number 1982670279
LBN Legal business name Thase, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 10th, 2012 - about 13 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 1982670279 NPPES
Pennsylvania MEDICAID 000836670

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