Radosevich, Thomas E

Radosevich, Thomas E is an individual health care provider with primary practice located at 120 N C Ave , Thermopolis WY 82443-2410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Radosevich, Thomas E can be contacted via phone (307) 864-5534.

Contact Information

Primary practice address
120 N C Ave Thermopolis WY 82443-2410
Phone: (307) 864-5534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5976A Wyoming

Profile Details

NPI number 1114969698
LBN Legal business name Radosevich, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 29th, 2019 - about 5 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 1114969698 NPPES
Wyoming MEDICAID 117895400

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