Melin, Thomas J

Melin, Thomas J is an individual health care provider with primary practice located at 19333 W North Ave , Brookfield WI 53045-4132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Melin, Thomas J can be contacted via phone (262) 785-2000.

Contact Information

Primary practice address
19333 W North Ave Brookfield WI 53045-4132
Phone: (262) 785-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28680-020 Wisconsin

Profile Details

NPI number 1568446904
LBN Legal business name Melin, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 15th, 2009 - about 15 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 1568446904 NPPES
Wisconsin MEDICAID 31575500
Wisconsin Other P00093152

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