Thickman, David Immanuel

Thickman, David Immanuel is an individual health care provider with primary practice located at 109 Sopris Mesa Dr , Carbondale CO 81623-3150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Thickman, David Immanuel can be contacted via phone (952) 595-1100.

Contact Information

Primary practice address
109 Sopris Mesa Dr Carbondale CO 81623-3150
Fax: (612) 294-4903
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR28103 Colorado

Profile Details

NPI number 1689650939
LBN Legal business name Thickman, David Immanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 30th, 2017 - about 7 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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