Rohde, Thomas W

Rohde, Thomas W is an individual health care provider with primary practice located at 3798 E Fulton Ave , Decatur IL 62521-5053. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rohde, Thomas W can be contacted via phone (217) 864-2700.

Contact Information

Primary practice address
3798 E Fulton Ave Decatur IL 62521-5053
Phone: (217) 864-2700
Fax: (217) 422-3930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-081038 Illinois
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A46499 California

Profile Details

NPI number 1407833163
LBN Legal business name Rohde, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Oct 25th, 2011 - about 13 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 1407833163 NPPES
Illinois MEDICAID 036081038
Illinois Other K39345

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