Cariveau, Thomas Bradley

Cariveau, Thomas Bradley is an individual health care provider with primary practice located at 929 Central Ave Nw , East Grand Forks MN 56721-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cariveau, Thomas Bradley can be contacted via phone (218) 773-6800.

Contact Information

Primary practice address
929 Central Ave Nw East Grand Forks MN 56721-1917
Phone: (218) 773-6800
Fax: (218) 773-6861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28494 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5343 North Dakota

Profile Details

NPI number 1881641538
LBN Legal business name Cariveau, Thomas Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 11th, 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 1881641538 NPPES
Minnesota Other 080161924 MEDICARE RAILROAD
Minnesota Other 0123578 MEDICARE RAILROAD
Minnesota MEDICAID 044782000 MEDICARE RAILROAD
Minnesota MEDICAID 15307 MEDICARE RAILROAD
Minnesota Other NA4571023344 MEDICARE RAILROAD
Minnesota Other 512M2CA MEDICARE RAILROAD
Minnesota Other 26521 MEDICARE RAILROAD

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