Ambro, Thomas M

Ambro, Thomas M is an individual health care provider with primary practice located at 9555 76Th St Ste 4105 , Pleasant Prairie WI 53158-1984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ambro, Thomas M can be contacted via phone (262) 577-8080.

Contact Information

Primary practice address
9555 76Th St Ste 4105 Pleasant Prairie WI 53158-1984
Fax: (262) 577-8081
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 32251 Wisconsin

Profile Details

NPI number 1316993678
LBN Legal business name Ambro, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 3rd, 2018 - about 8 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 1316993678 NPPES
Wisconsin Other 160043979 MEDICARE RAILROAD
Wisconsin MEDICAID 32062400 MEDICARE RAILROAD

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