Provider Demographics
NPI:1861650335
Name:ALLERGY & ASTHMA CARE, INC
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AUDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-776-5507
Mailing Address - Street 1:P.O. BOX 595
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VIRGIN ISLANDS
Mailing Address - Zip Code:00804
Mailing Address - Country:UM
Mailing Address - Phone:340-776-5507
Mailing Address - Fax:340-776-7935
Practice Address - Street 1:9149 ESTATE THOMAS
Practice Address - Street 2:PARAGON MEDICAL BUILDING SUITE 202
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2615
Practice Address - Country:US
Practice Address - Phone:340-776-5507
Practice Address - Fax:340-776-7935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIVI717174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIG40792Medicare UPIN