MEDICARE: MRS. JONALEA W THOMAS CNM

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	367A00000X	Advanced Practice Midwife	COA07572-NM	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	:	1053316604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JONALEA W THOMAS CNM

Provider Business Mailing Address
First Line	:	2200 JEFFERSON AVE
Second Line	:	5TH FLOOR
City	:	TOLEDO
State	:	OH
Zip	:	43604-7101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4126 N HOLLAND SYLVANIA RD
Second Line	:	SUITE 220
City	:	TOLEDO
State	:	OH
Zip	:	43623-3536
Country	:	US
Telephone Number	:	419-517-7600
Fax Number	:	419-517-7598

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	05/03/2016

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