Woods, Thomas R

Woods, Thomas R is an individual health care provider with primary practice located at 1501 S Madison St , Appleton WI 54915-1846. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Woods, Thomas R can be contacted via phone (920) 730-4435.

Contact Information

Primary practice address
1501 S Madison St Appleton WI 54915-1846
Phone: (920) 730-4435
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 84023 Wisconsin

Profile Details

NPI number 1619962842
LBN Legal business name Woods, Thomas R
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jun 17th, 2008 - about 17 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 1619962842 NPPES
Wisconsin MEDICAID 42913100

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