Peller, Thomas P

Peller, Thomas P is an sole proprietor health care provider with primary practice located at 714 W Hamilton Ave , Eau Claire WI 54701-6937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Peller, Thomas P can be contacted via phone (715) 830-9990.

Contact Information

Primary practice address
714 W Hamilton Ave Eau Claire WI 54701-6937
Fax: (715) 830-9995
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 34997 Wisconsin

Profile Details

NPI number 1497715726
LBN Legal business name Peller, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Jan 3rd, 2022 - about 3 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 1497715726 NPPES
Wisconsin MEDICAID 32016000

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