Willett, Thomas Rice
Willett, Thomas Rice is an sole proprietor health care provider with primary practice located at N6205 Busse Rd , Green Lake WI 54941-8500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willett, Thomas Rice can be contacted via phone (920) 294-3444.Contact Information
Primary practice address
N6205 Busse Rd
Green Lake WI 54941-8500
Phone: (920) 294-3444
Fax: (920) 294-6660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17659 | Wisconsin |
Profile Details
NPI number | 1902806243 |
---|---|
LBN Legal business name | Willett, Thomas Rice |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2005 |
Last updated | Dec 31st, 2009 - about 15 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 | 1902806243 | NPPES |
Wisconsin | Other | 391253020 | TAX IDENTIFICATION NUMBER |
Wisconsin | MEDICAID | 30020000 | TAX IDENTIFICATION NUMBER |
Wisconsin | Other | 391253020013 | TAX IDENTIFICATION NUMBER |
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