MEDICARE: MS. ERIN E THOMAS ERIN THOMAS

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	171100000X	Acupuncturist	60215179	WA

General Provider Information

NPI Number	:	1790063535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN E THOMAS ERIN THOMAS

Provider Business Mailing Address
First Line	:	4902 PHINNEY AVE N
Second Line	:	APT 6
City	:	SEATTLE
State	:	WA
Zip	:	98103-6380
Country	:	US
Telephone Number	:	206-349-3765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 QUEEN ANNE AVE N
Second Line	:	SUITE 407
City	:	SEATTLE
State	:	WA
Zip	:	98109-2876
Country	:	US
Telephone Number	:	206-349-3765
Fax Number	:

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

Provider Enumeration Date	:	07/27/2011
Last Update Date	:	07/27/2011

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