Rishavy, Thomas Jon

Rishavy, Thomas Jon is an individual health care provider with primary practice located at 1420 London Rd Suite 101, Duluth MN 55805-2433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Rishavy, Thomas Jon can be contacted via phone (218) 724-7363.

Contact Information

Primary practice address
1420 London Rd Suite 101 Duluth MN 55805-2433
Phone: (218) 724-7363
Fax: (218) 724-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 45103 Minnesota

Profile Details

NPI number 1295771798
LBN Legal business name Rishavy, Thomas Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 14th, 2010 - about 15 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 1295771798 NPPES
Minnesota MEDICAID 078738800

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