Mcknight, Thomas A

Mcknight, Thomas A is an individual health care provider with primary practice located at 350 W 23Rd St Ste A, Fremont NE 68025-2592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcknight, Thomas A can be contacted via phone (402) 721-7077.

Contact Information

Primary practice address
350 W 23Rd St Ste A Fremont NE 68025-2592
Fax: (402) 753-6056
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15494 Nebraska

Profile Details

NPI number 1679587778
LBN Legal business name Mcknight, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 17th, 2013 - about 11 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 1679587778 NPPES
Other P00243529 RR MR
MEDICAID 10025238700 RR MR
Other 07247 RR MR

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