Mengelt, Thomas P

Mengelt, Thomas P is an individual health care provider with primary practice located at 1720 S Burlington Dr , Muncie IN 47302-2771. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mengelt, Thomas P can be contacted via phone (765) 216-7620.

Contact Information

Primary practice address
1720 S Burlington Dr Muncie IN 47302-2771
Fax: (765) 216-7681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01024390A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01024390A Indiana

Profile Details

NPI number 1184623175
LBN Legal business name Mengelt, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 11th, 2018 - about 6 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 1184623175 NPPES
Indiana Other 080134890 RAILROAD MEDICARE
Indiana MEDICAID 100351920 RAILROAD MEDICARE
Indiana Other P00775305 RAILROAD MEDICARE
Indiana MEDICAID 100351920A RAILROAD MEDICARE
Indiana Other 000000623313 RAILROAD MEDICARE
Indiana Other 000000082491 RAILROAD MEDICARE
Indiana Other 000000668617 RAILROAD MEDICARE
Indiana MEDICAID 100351920B RAILROAD MEDICARE
Indiana Other P00841066 RAILROAD MEDICARE

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