Thom, Frederick W.

Thom, Frederick W. is an individual health care provider with primary practice located at 877 Oak Park Blvd. Med Plus Medical Center, Pismo Beach CA 93449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thom, Frederick W. can be contacted via phone (805) 474-8450.

Contact Information

Primary practice address
877 Oak Park Blvd. Med Plus Medical Center Pismo Beach CA 93449
Phone: (805) 474-8450
Fax: (805) 474-8454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G61780 California

Profile Details

NPI number 1376510529
LBN Legal business name Thom, Frederick W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 11th, 2008 - about 18 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 1376510529 NPPES
Other 240629 BLUE CROSS WORKERS COMP K
Other DF2146 BLUE CROSS WORKERS COMP K
Other 5255526 BLUE CROSS WORKERS COMP K
Other 0217529 BLUE CROSS WORKERS COMP K
Other 240630 BLUE CROSS WORKERS COMP K
Other G61780 BLUE CROSS WORKERS COMP K
Other 235229 BLUE CROSS WORKERS COMP K
Other P00347364 BLUE CROSS WORKERS COMP K

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