Cleary, Dan Thomas
Cleary, Dan Thomas is an individual health care provider with primary practice located at 1185 Corporate Center Dr Prohealth Care Medical Associates, Oconomowoc WI 53066-4887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cleary, Dan Thomas can be contacted via phone (262) 928-8400.Contact Information
Primary practice address
1185 Corporate Center Dr Prohealth Care Medical Associates
Oconomowoc WI 53066-4887
Phone: (262) 928-8400
Fax: (262) 928-8484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21232 | Wisconsin |
Profile Details
| NPI number | 1972615136 |
|---|---|
| LBN Legal business name | Cleary, Dan Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jan 18th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972615136 | NPPES |
| Wisconsin | MEDICAID | 30106700 |
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