Etter, Thomas H

Etter, Thomas H is an sole proprietor health care provider with primary practice located at 902 Blackburn St , Cody WY 82414-8494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Etter, Thomas H can be contacted via phone (307) 296-1355.

Contact Information

Primary practice address
902 Blackburn St Cody WY 82414-8494
Phone: (307) 296-1355
Fax: (307) 586-5464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X TL2094 Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X 2006003130 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 9334A Wyoming

Profile Details

NPI number 1154562791
LBN Legal business name Etter, Thomas H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2009
Last updated Aug 10th, 2022 - about 3 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 1154562791 NPPES
Missouri Other 28058 GHP
Missouri Other 921792 GHP
Missouri MEDICAID 1154562791 GHP
Missouri Other 622086 GHP
Missouri Other 9847314 GHP
Missouri Other 12740475 GHP
Missouri Other 12740475 GHP
Missouri Other 3032610 GHP

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