Atwood, Thomas Clyde
Atwood, Thomas Clyde is an individual health care provider with primary practice located at 2122 9Th St Suite 3, Greeley CO 80631-3089. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Atwood, Thomas Clyde can be contacted via phone (970) 353-5800.Contact Information
Primary practice address
2122 9Th St Suite 3
Greeley CO 80631-3089
Phone: (970) 353-5800
Fax: (970) 353-5854
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 457 | Colorado |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 102 | Wyoming |
Profile Details
NPI number | 1770595514 |
---|---|
LBN Legal business name | Atwood, Thomas Clyde |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770595514 | NPPES |
Wyoming | MEDICAID | 113584800 | |
Wyoming | MEDICAID | 09628223 |
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