Stork, Thomas

Stork, Thomas is an individual health care provider with primary practice located at 7155 80Th St S Ste 140, Cottage Grove MN 55016-3033. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stork, Thomas can be contacted via phone (651) 459-9686.

Contact Information

Primary practice address
7155 80Th St S Ste 140 Cottage Grove MN 55016-3033
Phone: (651) 459-9686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1457460032
LBN Legal business name Stork, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1457460032 NPPES
Minnesota Other 5128 LICENSE #

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