Brockhaus, Thomas

Brockhaus, Thomas is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1394. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brockhaus, Thomas can be contacted via phone (712) 279-2505.

Contact Information

Primary practice address
801 5Th St Sioux City IA 51101-1394
Phone: (712) 279-2505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 109914 Iowa

Profile Details

NPI number 1124020961
LBN Legal business name Brockhaus, Thomas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124020961 NPPES
Iowa MEDICAID 0427856
Iowa Other 36252

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