Thomas, Harold Adrian

Thomas, Harold Adrian is an individual health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553-5337. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Thomas, Harold Adrian can be contacted via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553-5337
Fax: (228) 497-1363
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1821480146
LBN Legal business name Thomas, Harold Adrian
Credentials CPSS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 11 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 1821480146 NPPES
Mississippi MEDICAID 00018214

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