Thomas, Thomas

Thomas, Thomas is an individual health care provider with primary practice located at 117 E Green Bay St , Shawano WI 54166-2443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomas, Thomas can be contacted via phone (715) 524-2161.

Contact Information

Primary practice address
117 E Green Bay St Shawano WI 54166-2443
Phone: (715) 524-2161
Fax: (715) 524-5658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21092 Wisconsin

Profile Details

NPI number 1457388233
LBN Legal business name Thomas, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 24th, 2008 - about 17 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 1457388233 NPPES
Wisconsin MEDICAID 30106900

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