Jack E. Thomas is a Clinical in Bloomington, Indiana. Jack E. Thomas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack E. Thomas is 1013107036. The last update date is 2007-07-26.
Jack E. Thomas's current location address is 2108 S Locust Ct, Bloomington, Indiana. You can contact this provider via phone number 8123256877. The mailing address for Jack E. Thomas is 2108 S Locust Ct, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack E. Thomas |
|---|---|
| Address | 2108 S Locust Ct, Bloomington, Indiana |
| Phone Number | 8123256877 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013107036 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 2108 S Locust Ct |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474016751 |
| Phone Number | 8123256877 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010356A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Jack E. Thomas by the Centers for Medicare & Medicaid Services?
The Jack E. Thomas has been issued the NPI (National Provider Identifier) 1013107036, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack E. Thomas?
The Jack E. Thomas is situated at 2108 S Locust Ct, in the city of Bloomington, state of IN, with the zip code 474016751.
What is the Jack E. Thomas's specialty and taxonomy code?
The Jack E. Thomas's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Jack E. Thomas receive its 1013107036 assignment from the Centers for Medicare & Medicaid Services?
The Jack E. Thomas was assigned its 1013107036 by the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date were the Jack E. Thomas's details last updated?
The information pertaining to the Jack E. Thomas, including its address, specialty, and other details, was most recently updated on 2007-07-26.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA