Thomassen, Thom S

Thomassen, Thom S is an individual health care provider with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Thomassen, Thom S can be contacted via phone (608) 756-7100.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Phone: (608) 756-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 34177 Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-092307 Illinois

Profile Details

NPI number 1407903180
LBN Legal business name Thomassen, Thom S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 29th, 2011 - about 14 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 1407903180 NPPES
Wisconsin MEDICAID 31929600

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