Duncan, Thomas Keith

Duncan, Thomas Keith is an individual health care provider with primary practice located at 200 Theda Clark Medical Plz Ste 240 , Neenah WI 54956-2790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Duncan, Thomas Keith can be contacted via phone (920) 725-2070.

Contact Information

Primary practice address
200 Theda Clark Medical Plz Ste 240 Neenah WI 54956-2790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22196 Wisconsin

Profile Details

NPI number 1588641039
LBN Legal business name Duncan, Thomas Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Nov 23rd, 2011 - about 14 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 1588641039 NPPES
Wisconsin Other 711290049 MEDICARE PTAN
Wisconsin MEDICAID 30252000 MEDICARE PTAN

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