Van Dillen, Thomas A.
Van Dillen, Thomas A. is an individual health care provider with primary practice located at 1301 Ks Hwy 264 , Larned KS 67550-0089. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Dillen, Thomas A. can be contacted via phone (620) 285-4609.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | T-LP 1377 | Kansas |
Profile Details
| NPI number | 1699881458 |
|---|---|
| LBN Legal business name | Van Dillen, Thomas A. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1699881458 | NPPES |
| Kansas | Other | 121002 | CARRIER ASSIGNED |
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