Whalen, Thomas Brian
Whalen, Thomas Brian is an sole proprietor health care provider with primary practice located at 3703 Sw 13Th St , Gainesville FL 32608-3507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Whalen, Thomas Brian can be contacted via phone (352) 672-8023.Contact Information
Primary practice address
3703 Sw 13Th St
Gainesville FL 32608-3507
Phone: (352) 672-8023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME90007 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME90007 | Florida |
Profile Details
| NPI number | 1366460990 |
|---|---|
| LBN Legal business name | Whalen, Thomas Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366460990 | NPPES |
| Florida | MEDICAID | 269502200 |
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