Berentsen, Thomas R

Berentsen, Thomas R is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Berentsen, Thomas R can be contacted via phone (608) 371-8000.

Contact Information

Primary practice address
3200 E Racine St Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 23622-020 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 23622-020 Wisconsin

Profile Details

NPI number 1477593036
LBN Legal business name Berentsen, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 3rd, 2020 - about 5 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 1477593036 NPPES
Wisconsin MEDICAID 1477593036

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