Degenhardt, Thomas C

Degenhardt, Thomas C is an individual health care provider with primary practice located at 1405 Montgomery Dr , Santa Rosa CA 95405-4557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Degenhardt, Thomas C can be contacted via phone (707) 546-1922.

Contact Information

Primary practice address
1405 Montgomery Dr Santa Rosa CA 95405-4557
Phone: (707) 546-1922
Fax: (707) 546-1987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G25938 California

Profile Details

NPI number 1073556635
LBN Legal business name Degenhardt, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 14th, 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 1073556635 NPPES
California Other G25938 LICENSE
California MEDICAID 00G259380 LICENSE
California Other 00G259380 LICENSE

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