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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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