Ziebarth, Thomas Matthew
Ziebarth, Thomas Matthew is an individual health care provider with primary practice located at 507 W Doughty St , Lake City MN 55041-1500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ziebarth, Thomas Matthew can be contacted via phone (651) 345-2350.Contact Information
Primary practice address
507 W Doughty St
Lake City MN 55041-1500
Phone: (651) 345-2350
Fax: (651) 345-2238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37579 | Minnesota |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 37579 | Minnesota |
Profile Details
NPI number | 1851377923 |
---|---|
LBN Legal business name | Ziebarth, Thomas Matthew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2005 |
Last updated | Aug 18th, 2016 - about 9 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 | 1851377923 | NPPES |
Minnesota | MEDICAID | 456723400 |
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