Shookman, Thomas W

Shookman, Thomas W is an individual health care provider with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shookman, Thomas W can be contacted via phone (608) 355-3800.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Phone: (608) 355-3800
Fax: (608) 355-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 62-023 Wisconsin

Profile Details

NPI number 1568420404
LBN Legal business name Shookman, Thomas W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Apr 30th, 2014 - about 10 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 1568420404 NPPES
Wisconsin Other 3421 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 42976900 DEAN HEALTH INSURANCE
Wisconsin Other 1027534 DEAN HEALTH INSURANCE

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