Thomas, Fred Nicholas

Thomas, Fred Nicholas is an sole proprietor health care provider with primary practice located at 2205 Executive Dr Ste A , Hampton VA 23666-2948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thomas, Fred Nicholas can be contacted via phone (757) 223-4992.

Contact Information

Primary practice address
2205 Executive Dr Ste A Hampton VA 23666-2948
Phone: (757) 223-4992
Fax: (757) 223-5350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 0101238297 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101238297 Virginia

Profile Details

NPI number 1518958420
LBN Legal business name Thomas, Fred Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Jan 11th, 2022 - about 4 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 1518958420 NPPES
Virginia MEDICAID 1518958420

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