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
Phone: (715) 830-9990
Fax: (715) 830-9995
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497715726 | NPPES |
Wisconsin | MEDICAID | 32016000 |
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