Brefeld, Thomas J.

Brefeld, Thomas J. is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Brefeld, Thomas J. can be contacted via phone (815) 971-4025.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Phone: (815) 971-4025
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036104961 Illinois

Profile Details

NPI number 1699885871
LBN Legal business name Brefeld, Thomas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 20th, 2010 - about 15 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 1699885871 NPPES
Illinois MEDICAID 036104961

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