Thomas, Thomas D.
Thomas, Thomas D. is an individual health care provider with primary practice located at 416 George St Suite Ll6, De Pere WI 54115-2712. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thomas, Thomas D. can be contacted via phone (920) 338-0331.Contact Information
Primary practice address
416 George St Suite Ll6
De Pere WI 54115-2712
Phone: (920) 338-0331
Fax: (920) 338-0348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1246-125 | Wisconsin |
Profile Details
| NPI number | 1225237860 |
|---|---|
| LBN Legal business name | Thomas, Thomas D. |
| Credentials | MS, LPC, CSAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jan 29th, 2008 - about 16 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 | 1225237860 | NPPES |
| Wisconsin | Other | 1246-125 | STATE LICENSE |
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