Ambrose, Thomas A

Ambrose, Thomas A is an individual health care provider with primary practice located at 911 E. 20Th St. Ste. 300, Sioux Falls SD 57105-1045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ambrose, Thomas A can be contacted via phone (605) 322-1300.

Contact Information

Primary practice address
911 E. 20Th St. Ste. 300 Sioux Falls SD 57105-1045
Phone: (605) 322-1300
Fax: (605) 322-1301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01037487A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 41335 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10090 South Dakota

Profile Details

NPI number 1679524805
LBN Legal business name Ambrose, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679524805 NPPES
Indiana Other 000000247026 ANTHEM PIN
Indiana MEDICAID 100357760 ANTHEM PIN

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