Thomas, Jerry G

Thomas, Jerry G is an individual health care provider with primary practice located at 3429 57Th Avenue Dr W , Bradenton FL 34210-3518. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Thomas, Jerry G can be contacted via phone (785) 243-0454.

Contact Information

Primary practice address
3429 57Th Avenue Dr W Bradenton FL 34210-3518
Phone: (785) 243-0454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54616 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9355144 Florida

Profile Details

NPI number 1508869785
LBN Legal business name Thomas, Jerry G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Feb 23rd, 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 1508869785 NPPES
Kansas MEDICAID 100331300G

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