Chulski, Thomas G

Chulski, Thomas G is an individual health care provider with primary practice located at 900 E Division St , Wautoma WI 54982-6944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chulski, Thomas G can be contacted via phone (920) 787-6900.

Contact Information

Primary practice address
900 E Division St Wautoma WI 54982-6944
Phone: (920) 787-6900
Fax: (920) 787-6903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41922 Wisconsin

Profile Details

NPI number 1700870607
LBN Legal business name Chulski, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Oct 20th, 2011 - about 13 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 1700870607 NPPES
Wisconsin MEDICAID 32626700

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