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
Fax: (651) 345-2238
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851377923 NPPES
Minnesota MEDICAID 456723400

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