Thachenkary, Ted G
Thachenkary, Ted G is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Thachenkary, Ted G can be contacted via phone (262) 948-5108.Contact Information
Primary practice address
10400 75Th St
Kenosha WI 53142-7884
Phone: (262) 948-5108
Fax: (262) 948-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51264 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 51264 | Wisconsin |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 51264 | Wisconsin |
Profile Details
| NPI number | 1346285731 |
|---|---|
| LBN Legal business name | Thachenkary, Ted G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Aug 3rd, 2022 - about 2 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 | 1346285731 | NPPES |
| Indiana | Other | P00465482 | RAILROAD MEDICARE |
| Indiana | Other | 000000539405 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 200532220 | RAILROAD MEDICARE |
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