Wedge, Thomas K

Wedge, Thomas K is an individual health care provider with primary practice located at 99 S Main St , Fall River MA 02721-5375. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Wedge, Thomas K can be contacted via phone (800) 679-3609.

Contact Information

Primary practice address
99 S Main St Fall River MA 02721-5375
Phone: (800) 679-3609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X LABA10000048 Massachusetts

Profile Details

NPI number 1114583713
LBN Legal business name Wedge, Thomas K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated Mar 24th, 2023 - about 3 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 1114583713 NPPES
Massachusetts MEDICAID 110026265E

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