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
Phone: (920) 725-2070
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588641039 | NPPES |
Wisconsin | Other | 711290049 | MEDICARE PTAN |
Wisconsin | MEDICAID | 30252000 | MEDICARE PTAN |
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