Thomas, Jean David
Thomas, Jean David is an sole proprietor health care provider with primary practice located at Salem Family Health Center 47 Congress Street, Salem MA 01970. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Thomas, Jean David can be contacted via phone (978) 744-8388.Contact Information
Primary practice address
Salem Family Health Center 47 Congress Street
Salem MA 01970
Phone: (978) 744-8388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2269800 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2269800 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN2269800 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN2269800 | Massachusetts |
Profile Details
| NPI number | 1467928184 |
|---|---|
| LBN Legal business name | Thomas, Jean David |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2018 |
| Last updated | Feb 7th, 2020 - about 6 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 | 1467928184 | NPPES |
| Massachusetts | MEDICAID | 110149360A |
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