Wannenburg, Thomas

Wannenburg, Thomas is an individual health care provider with primary practice located at 9320 Park West Blvd , Knoxville TN 37923-4301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Wannenburg, Thomas can be contacted via phone (865) 373-7100.

Contact Information

Primary practice address
9320 Park West Blvd Knoxville TN 37923-4301
Phone: (865) 373-7100
Fax: (865) 373-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34761 North Carolina
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 34761 North Carolina
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 52414 Tennessee

Profile Details

NPI number 1346225380
LBN Legal business name Wannenburg, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Dec 13th, 2021 - about 4 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 1346225380 NPPES
Tennessee MEDICAID Q016063
Tennessee Other 8490
Tennessee Other 85591
Tennessee MEDICAID Q24553
Tennessee MEDICAID 2005393000
Tennessee MEDICAID 8985591
Tennessee MEDICAID 6013228
Tennessee Other 5692360
Tennessee Other 60067968
Tennessee Other 60616

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