Cervoni, Thomas D

Cervoni, Thomas D is an individual health care provider with primary practice located at 789 Eastern Byp Suite 5, Richmond KY 40475-2415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cervoni, Thomas D can be contacted via phone (859) 624-4110.

Contact Information

Primary practice address
789 Eastern Byp Suite 5 Richmond KY 40475-2415
Phone: (859) 624-4110
Fax: (859) 624-1968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34845 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 34845 Kentucky

Profile Details

NPI number 1407946403
LBN Legal business name Cervoni, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 7th, 2023 - about 2 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 1407946403 NPPES
Kentucky Other 200312945 FEDERAL TAX ID
Kentucky MEDICAID 64035546 FEDERAL TAX ID
Kentucky Other 5623185 FEDERAL TAX ID
Kentucky Other P00111547 FEDERAL TAX ID
Kentucky Other 000000311405 FEDERAL TAX ID
Kentucky Other 5245840001 FEDERAL TAX ID

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