Thatcher, Gregory
Thatcher, Gregory is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thatcher, Gregory can be contacted via phone (715) 524-2161.Contact Information
Primary practice address
100 County Road B
Shawano WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22550 | Wisconsin |
Profile Details
| NPI number | 1124054150 |
|---|---|
| LBN Legal business name | Thatcher, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jan 26th, 2012 - about 13 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 | 1124054150 | NPPES |
| Wisconsin | MEDICAID | 30277900 |
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