Provider Demographics
NPI:1316028285
Name:THOMAS, FRANK EPHRAIM (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EPHRAIM
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 11TH ST
Mailing Address - Street 2:#302
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6241
Mailing Address - Country:US
Mailing Address - Phone:360-734-1822
Mailing Address - Fax:
Practice Address - Street 1:929 11TH ST
Practice Address - Street 2:#302
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6241
Practice Address - Country:US
Practice Address - Phone:360-734-1822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD14153207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAO9546Medicare UPIN