Thomas, Manuel De Jesus

Thomas, Manuel De Jesus is an individual health care provider with primary practice located at 1107 W Oklahoma Ave , Milwaukee WI 53215-4617. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thomas, Manuel De Jesus can be contacted via phone (414) 463-2607.

Contact Information

Primary practice address
1107 W Oklahoma Ave Milwaukee WI 53215-4617
Phone: (414) 463-2607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 47171 Wisconsin
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 47171 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47171 Wisconsin

Profile Details

NPI number 1790870558
LBN Legal business name Thomas, Manuel De Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 2019 - about 5 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 1790870558 NPPES
Illinois Other 038.147540 STATE OF IL

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