Paulson, Thomas A

Paulson, Thomas A is an sole proprietor health care provider with primary practice located at 1102 S 8Th St , Manitowoc WI 54220-5310. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Paulson, Thomas A can be contacted via phone (920) 684-6959.

Contact Information

Primary practice address
1102 S 8Th St Manitowoc WI 54220-5310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001368 Wisconsin

Profile Details

NPI number 1013928498
LBN Legal business name Paulson, Thomas A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013928498 NPPES
Wisconsin MEDICAID 33619200

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