Thayer, Cedric V
Thayer, Cedric V is an individual health care provider with primary practice located at 2219 Garfield St , Two Rivers WI 54241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thayer, Cedric V can be contacted via phone (920) 793-2281.Contact Information
Primary practice address
2219 Garfield St
Two Rivers WI 54241
Phone: (920) 793-2281
Fax: (920) 794-7553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24632 | Wisconsin |
Profile Details
NPI number | 1043327158 |
---|---|
LBN Legal business name | Thayer, Cedric V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Mar 7th, 2023 - 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 | 1043327158 | NPPES |
Wisconsin | MEDICAID | 30442100 |
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