Pham, Tom

Pham, Tom is an individual health care provider with primary practice located at 4855 S Moorland Rd Fl 3 , New Berlin WI 53151-7494. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Pham, Tom can be contacted via phone (262) 432-7599.

Contact Information

Primary practice address
4855 S Moorland Rd Fl 3 New Berlin WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75525 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X T7331 Texas

Profile Details

NPI number 1366939795
LBN Legal business name Pham, Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2018
Last updated Dec 19th, 2022 - about 2 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 1366939795 NPPES
Wisconsin MEDICAID 1366939795

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