Woltjer, Thomas Allen

Woltjer, Thomas Allen is an individual health care provider with primary practice located at 675 Baltimore Dr , Wilkes Barre PA 18702-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Woltjer, Thomas Allen can be contacted via phone (570) 808-5441.

Contact Information

Primary practice address
675 Baltimore Dr Wilkes Barre PA 18702-7900
Phone: (570) 808-5441
Fax: (570) 808-5371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X OS021387 Pennsylvania

Profile Details

NPI number 1376989202
LBN Legal business name Woltjer, Thomas Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2013
Last updated Nov 18th, 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 1376989202 NPPES
Kansas MEDICAID 201252990A

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