Nill, Thomas G

Nill, Thomas G is an individual health care provider with primary practice located at 2512 E Dupont Rd Suite 100, Fort Wayne IN 46825-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nill, Thomas G can be contacted via phone (260) 436-6667.

Contact Information

Primary practice address
2512 E Dupont Rd Suite 100 Fort Wayne IN 46825-1675
Phone: (260) 436-6667
Fax: (260) 918-2137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01038992A Indiana

Profile Details

NPI number 1407820772
LBN Legal business name Nill, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 29th, 2012 - about 12 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 1407820772 NPPES
Ohio MEDICAID 0748972
Ohio Other 000000087515
Ohio MEDICAID 100329810
Ohio MEDICAID 100081380
Ohio MEDICAID 0825398

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