Thomas, Jerry Frank

Thomas, Jerry Frank is an individual health care provider with primary practice located at 2315 Myrtle St Ste L90 , Erie PA 16502-4607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thomas, Jerry Frank can be contacted via phone (814) 452-7575.

Contact Information

Primary practice address
2315 Myrtle St Ste L90 Erie PA 16502-4607
Phone: (814) 452-7575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051584 Pennsylvania

Profile Details

NPI number 1720084437
LBN Legal business name Thomas, Jerry Frank
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 15th, 2024 - about 2 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 1720084437 NPPES
Other 13742206 CAQH

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