Betka, Thomas C

Betka, Thomas C is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Betka, Thomas C can be contacted via phone (920) 288-4010.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-4010
Fax: (920) 288-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 41209 Wisconsin

Profile Details

NPI number 1164454302
LBN Legal business name Betka, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 1st, 2009 - 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 1164454302 NPPES
Wisconsin MEDICAID 32569700

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