Mausbach, Thomas W

Mausbach, Thomas W is an individual health care provider with primary practice located at 2701 13Th Ave S , Fargo ND 58103-3602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mausbach, Thomas W can be contacted via phone (701) 234-3620.

Contact Information

Primary practice address
2701 13Th Ave S Fargo ND 58103-3602
Phone: (701) 234-3620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3790 North Dakota

Profile Details

NPI number 1932134764
LBN Legal business name Mausbach, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 3rd, 2012 - about 13 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 1932134764 NPPES
North Dakota MEDICAID 592087600
North Dakota Other ND100008
North Dakota Other 1201795
North Dakota Other 1201198
North Dakota Other 676635
North Dakota Other 1201202
North Dakota Other 50288MA
North Dakota Other 91422MA
North Dakota Other DA9011015564
North Dakota Other 141926
North Dakota Other 21590
North Dakota Other 1201197
North Dakota Other HP19527
North Dakota MEDICAID 12392

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