MEDICARE: JULIA ANN THOMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S.0012538	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851805873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANN THOMES

Provider Business Mailing Address
First Line	:	941 MARKET ST
Second Line	:
City	:	PIKETON
State	:	OH
Zip	:	45661-9757
Country	:	US
Telephone Number	:	740-289-2371
Fax Number	:	740-289-4291

Provider Business Practice Location Address
First Line	:	23030 STATE ROUTE 73
Second Line	:
City	:	WEST PORTSMOUTH
State	:	OH
Zip	:	45663-8861
Country	:	US
Telephone Number	:	740-858-1063
Fax Number	:	740-858-9140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	09/22/2021

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Directions to “ JULIA ANN THOMES ” Practice Location

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