Roukis, Thomas Sean

Roukis, Thomas Sean is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Roukis, Thomas Sean can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004963 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000811 Washington
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO4225 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 779 Wisconsin

Profile Details

NPI number 1740288356
LBN Legal business name Roukis, Thomas Sean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 18th, 2020 - about 4 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 1740288356 NPPES
Illinois MEDICAID 016004963
Illinois Other 60000380

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