Thomas, Jack E

Thomas, Jack E is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Thomas, Jack E can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5176 Minnesota

Profile Details

NPI number 1780813410
LBN Legal business name Thomas, Jack E
Credentials MS, SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Mar 13th, 2018 - about 8 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 1780813410 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00746356

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