Thomason, Dallas Michelle

Thomason, Dallas Michelle is an individual health care provider with primary practice located at 1907 Mission 66 , Vicksburg MS 39180-3711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thomason, Dallas Michelle can be contacted via phone (601) 636-1173.

Contact Information

Primary practice address
1907 Mission 66 Vicksburg MS 39180-3711
Phone: (601) 636-1173
Fax: (601) 638-8287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00142 Mississippi

Profile Details

NPI number 1225361702
LBN Legal business name Thomason, Dallas Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2009
Last updated Mar 25th, 2014 - about 12 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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