JACOB WADE THOMAS NPI 1972379956

NPI Information

NPI: 1972379956
Provider Name: JACOB WADE THOMAS
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
224 W COMMERCIAL ST
LEBANON, MO
ZIP 65536
Phone: (417) 657-6400
Get Directions

Jacob Wade Thomas is a speech-language assistant specialist technologist in Lebanon, MO. Jacob Wade Thomas NPI is 1972379956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

224 W COMMERCIAL ST
LEBANON, MO
ZIP 65536-146
Phone: (417) 657-6400

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	2022005065	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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