Faull, Thomas J

Faull, Thomas J is an individual health care provider with primary practice located at 700 S Park St Suite A, Madison WI 53715-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Faull, Thomas J can be contacted via phone (608) 260-2900.

Contact Information

Primary practice address
700 S Park St Suite A Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-3455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 53406-21 Wisconsin

Profile Details

NPI number 1497910319
LBN Legal business name Faull, Thomas J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Nov 12th, 2020 - about 4 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 1497910319 NPPES
Wisconsin MEDICAID 1497910319

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