Danaher, Thomas J

Danaher, Thomas J is an individual health care provider with primary practice located at 1340 Charles St Ste 100, Rockford IL 61104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Danaher, Thomas J can be contacted via phone (779) 696-1900.

Contact Information

Primary practice address
1340 Charles St Ste 100 Rockford IL 61104
Phone: (779) 696-1900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036056019 Illinois

Profile Details

NPI number 1114994845
LBN Legal business name Danaher, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 1st, 2015 - about 9 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 1114994845 NPPES
Illinois MEDICAID 036056019

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