Provider Demographics
NPI:1124203641
Name:THOMAS, DONALD HAYDEN (M AC, L AC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:HAYDEN
Last Name:THOMAS
Suffix:
Gender:M
Credentials:M AC, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9129 SANTA RITA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1911
Mailing Address - Country:US
Mailing Address - Phone:410-529-6876
Mailing Address - Fax:
Practice Address - Street 1:9649 BELAIR ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-605-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO1366171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist