Thomas M Cunningham in Sebastopol - Specialist
Thomas M Cunningham - NPI 1821034125
Thomas M Cunningham is a Specialist in Sebastopol, California. Thomas M Cunningham practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas M Cunningham is 1821034125. The last update date is 2010-06-24.
Thomas M Cunningham's current location address is 652 Petaluma Ave, Sebastopol, California. You can contact this provider via phone number 7078238708 and fax number 7078233956. The mailing address for Thomas M Cunningham is 652 Petaluma Ave, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas M Cunningham |
|---|---|
| Address | 652 Petaluma Ave, Sebastopol, California |
| Phone Number | 7078238708 |
| Fax Number | 7078233956 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821034125 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2010-06-24 |
Provider Mailing Address Detail
| Address | 652 Petaluma Ave |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954724256 |
| Phone Number | 7078238708 |
| Fax Number | 7078233956 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G40423 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G404230 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas M Cunningham by the Centers for Medicare & Medicaid Services?
The Thomas M Cunningham has been issued the NPI (National Provider Identifier) 1821034125, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thomas M Cunningham?
The Thomas M Cunningham is physically situated at 652 Petaluma Ave, in the city of Sebastopol, state of CA, with the postal code 954724256.
What is Thomas M Cunningham's area of expertise and its corresponding taxonomy classification?
The Thomas M Cunningham's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1821034125 assigned to Thomas M Cunningham?
The Thomas M Cunningham was issued its 1821034125 on 2006-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Thomas M Cunningham last refreshed?
The information related to the Thomas M Cunningham, including its address, specialty, and other relevant details, was last updated on 2010-06-24.