Bormes, Thomas P

Bormes, Thomas P is an individual health care provider with primary practice located at 3811 Spring Street Suite 225, Racine WI 53405-1667. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Bormes, Thomas P can be contacted via phone (262) 687-8202.

Contact Information

Primary practice address
3811 Spring Street Suite 225 Racine WI 53405-1667
Phone: (262) 687-8202
Fax: (262) 687-8074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036072689 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 47285 Wisconsin

Profile Details

NPI number 1639156995
LBN Legal business name Bormes, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 24th, 2021 - 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 1639156995 NPPES
Illinois MEDICAID 36072689

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