Austad, Thomas R
Austad, Thomas R is an sole proprietor health care provider with primary practice located at 1885 West 4400 South , Roy UT 84067. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Austad, Thomas R can be contacted via phone (801) 731-3833.Contact Information
Primary practice address
1885 West 4400 South
Roy UT 84067
Phone: (801) 731-3833
Fax: (801) 731-4561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1026230501 | Utah |
Profile Details
| NPI number | 1710085261 |
|---|---|
| LBN Legal business name | Austad, Thomas R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 8th, 2008 - about 17 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 | 1710085261 | NPPES |
| Other | 870341157 | TAX ID | |
| Other | 756480226 | TAX ID |
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