Grube, Thomas J

Grube, Thomas J is an individual health care provider with primary practice located at 107 3Rd Ave Nw , Mandan ND 58554-3129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Grube, Thomas J can be contacted via phone (701) 751-2131.

Contact Information

Primary practice address
107 3Rd Ave Nw Mandan ND 58554-3129
Phone: (701) 751-2131
Fax: (701) 751-2133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9201 North Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X 9201 North Dakota

Profile Details

NPI number 1659328516
LBN Legal business name Grube, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Aug 18th, 2010 - about 15 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 1659328516 NPPES
North Dakota MEDICAID 12035

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