Thomas, Diane M
Thomas, Diane M is an sole proprietor health care provider with primary practice located at 4868 Sparks Blvd Suite 102, Sparks NV 89436-8207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Diane M can be contacted via phone (775) 331-5023.Contact Information
Primary practice address
4868 Sparks Blvd Suite 102
Sparks NV 89436-8207
Phone: (775) 331-5023
Fax: (775) 331-5031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9450 | Nevada |
Profile Details
| NPI number | 1124006044 |
|---|---|
| LBN Legal business name | Thomas, Diane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 22nd, 2021 - about 5 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 | 1124006044 | NPPES |
| Nevada | Other | 29D1015353 | CLIA |
| Nevada | Other | DQ4188 | CLIA |
| Nevada | MEDICAID | 002016817 | CLIA |
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