Smith, Thomas Paul

Smith, Thomas Paul is an individual health care provider with primary practice located at W177N9856 Rivercrest Dr Suite 102, Germantown WI 53022-4647. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Smith, Thomas Paul can be contacted via phone (262) 251-9300.

Contact Information

Primary practice address
W177N9856 Rivercrest Dr Suite 102 Germantown WI 53022-4647
Phone: (262) 251-9300
Fax: (262) 251-9303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2664 Wisconsin

Profile Details

NPI number 1881658045
LBN Legal business name Smith, Thomas Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 29th, 2019 - about 5 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 1881658045 NPPES
Wisconsin Other 200879361018 BLUE CROSS BLUE SHIELD
Wisconsin Other P00110391 BLUE CROSS BLUE SHIELD

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