Pannke, Thomas Scott
Pannke, Thomas Scott is an individual health care provider with primary practice located at 601 Martin Luther King Ave Ne , Albuquerque NM 87102-3619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pannke, Thomas Scott can be contacted via phone (505) 727-8000.Contact Information
Primary practice address
601 Martin Luther King Ave Ne
Albuquerque NM 87102-3619
Phone: (505) 727-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD60793240 | Washington |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 41606-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 9372-A | Wyoming |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD2014-0522 | New Mexico |
Profile Details
| NPI number | 1396779716 |
|---|---|
| LBN Legal business name | Pannke, Thomas Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Aug 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396779716 | NPPES |
| Wisconsin | Other | 930079986 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 31814700 | MEDICARE RAILROAD |
| Wisconsin | Other | 930078269 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 104160666 | MEDICARE RAILROAD |
| Wisconsin | Other | 930106591 | MEDICARE RAILROAD |
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