Marx, Thomas David

Marx, Thomas David is an individual health care provider with primary practice located at 4848 S 76Th St Suite 201, Greenfield WI 53220-4361. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marx, Thomas David can be contacted via phone (414) 325-7741.

Contact Information

Primary practice address
4848 S 76Th St Suite 201 Greenfield WI 53220-4361
Phone: (414) 325-7741
Fax: (414) 325-7735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 594057 Wisconsin

Profile Details

NPI number 1790895233
LBN Legal business name Marx, Thomas David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790895233 NPPES
Wisconsin MEDICAID 39057300

Popular Providers