Pelant, Thomas Michael

Pelant, Thomas Michael is an individual health care provider with primary practice located at 1024 N Main St , Rice Lake WI 54868-0028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pelant, Thomas Michael can be contacted via phone (715) 234-8151.

Contact Information

Primary practice address
1024 N Main St Rice Lake WI 54868-0028
Fax: (715) 234-9750
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17779 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21630 Minnesota

Profile Details

NPI number 1134297559
LBN Legal business name Pelant, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 7th, 2023 - about last year

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 1134297559 NPPES
Wisconsin MEDICAID 30242200
Wisconsin MEDICAID 530068100

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