Ludema, Thomas
Ludema, Thomas is an sole proprietor health care provider with primary practice located at 27800 Medical Center Rd Suite 263, Mission Viejo CA 92691-6447. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ludema, Thomas can be contacted via phone (949) 365-8877.Contact Information
Primary practice address
27800 Medical Center Rd Suite 263
Mission Viejo CA 92691-6447
Phone: (949) 365-8877
Fax: (949) 365-8878
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G53135 | California |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G53135 | California |
Profile Details
NPI number | 1316953243 |
---|---|
LBN Legal business name | Ludema, Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Oct 31st, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316953243 | NPPES |
California | MEDICAID | 00G531350 |
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