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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1790895233 | NPPES |
| Wisconsin | MEDICAID | 39057300 |
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