Austgen, Thomas Robert

Austgen, Thomas Robert is an individual health care provider with primary practice located at 1370 13Th Ave S Suite 116, Jacksonville Beach FL 32250-3206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Austgen, Thomas Robert can be contacted via phone (904) 247-3858.

Contact Information

Primary practice address
1370 13Th Ave S Suite 116 Jacksonville Beach FL 32250-3206
Phone: (904) 247-3858
Fax: (904) 247-7079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME95091 Florida

Profile Details

NPI number 1558307660
LBN Legal business name Austgen, Thomas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 22nd, 2011 - about 14 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 1558307660 NPPES
Other P00722976 RAILROAD MEDICARE
Other 2922220 RAILROAD MEDICARE
Other 48980 RAILROAD MEDICARE
Other 294577 RAILROAD MEDICARE
Other 4516825 RAILROAD MEDICARE
MEDICAID 270661000 RAILROAD MEDICARE
MEDICAID 289542326A RAILROAD MEDICARE

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