Kammerlocher, Thad

Kammerlocher, Thad is an individual health care provider with primary practice located at 6821 Palisades Park Ct Suite 1, Fort Myers FL 33912-7131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kammerlocher, Thad can be contacted via phone (239) 936-8555.

Contact Information

Primary practice address
6821 Palisades Park Ct Suite 1 Fort Myers FL 33912-7131
Phone: (239) 936-8555
Fax: (239) 936-5611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME65374 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME65374 Florida

Profile Details

NPI number 1326003997
LBN Legal business name Kammerlocher, Thad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 11th, 2016 - about 8 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 1326003997 NPPES
Other 260837 AVMED
Other 7267021 AVMED
MEDICAID 256427100 AVMED
Other 2759634 AVMED
Other 46591 AVMED
Other P00449663 AVMED

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