Free, Thomas W

Free, Thomas W is an individual health care provider with primary practice located at 1210 W 18Th St Ste Ll03, Sioux Falls SD 57104-4647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Free, Thomas W can be contacted via phone (605) 328-1410.

Contact Information

Primary practice address
1210 W 18Th St Ste Ll03 Sioux Falls SD 57104-4647
Phone: (605) 328-1410
Fax: (605) 328-1412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3356 South Dakota
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 3356 South Dakota

Profile Details

NPI number 1962468926
LBN Legal business name Free, Thomas W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 17th, 2018 - about 6 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 1962468926 NPPES
South Dakota MEDICAID 7200340

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