Bobka, Thomas Edward
Bobka, Thomas Edward is an individual health care provider with primary practice located at 216 S Military Ave , Green Bay WI 54303-2498. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bobka, Thomas Edward can be contacted via phone (920) 494-3384.Contact Information
Primary practice address
216 S Military Ave
Green Bay WI 54303-2498
Phone: (920) 494-3384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2740-035 | Wisconsin |
Profile Details
| NPI number | 1588613459 |
|---|---|
| LBN Legal business name | Bobka, Thomas Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1588613459 | NPPES |
| Wisconsin | MEDICAID | 38614800 |
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