1891810388 NPI number — MS. NOELLE THOMAS M.D

Table of content: MS. NOELLE THOMAS M.D (NPI 1891810388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891810388 NPI number — MS. NOELLE THOMAS M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMAS
Provider First Name:
NOELLE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
THOMAS SICK
Provider Other First Name:
NOEL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1891810388
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 NAPA VALLEJO HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NAPA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94558-6293
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-299-4841
Provider Business Mailing Address Fax Number:
408-299-2511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 NAPA VALLEJO HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94558-6293
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-253-5000
Provider Business Practice Location Address Fax Number:
707-253-5097
Provider Enumeration Date:
03/21/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  A76591 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)