Individual
THOMAS VANASCHE
Active
Individual
THOMAS VANASCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010051720
RAILROAD MEDICARE
—
01
—
059297000
BC/BS OF OREGON
—
05
—
62315
—
OR
01
—
79196
WASHINGTON L&I
—
01
—
C94546
PROVIDENCE HEALTH PLAN
—
01
—
JT3251
PACC
—
05
—
XPY185193
—
CA
Enumeration date
04/04/2006
Last updated
11/03/2020
Update your record
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