Gunderson, Thomas W

Gunderson, Thomas W is an individual health care provider with primary practice located at 509 Zierke Ct , Winnebago IL 61088-8322. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Gunderson, Thomas W can be contacted via phone (815) 980-1282.

Contact Information

Primary practice address
509 Zierke Ct Winnebago IL 61088-8322
Phone: (815) 980-1282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041.339921 Illinois

Profile Details

NPI number 1770248528
LBN Legal business name Gunderson, Thomas W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2021
Last updated Nov 6th, 2021 - 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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