Bommersbach, Tanner J
Bommersbach, Tanner J is an individual health care provider with primary practice located at 6001 Research Park Blvd , Madison WI 53719-1176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Bommersbach, Tanner J can be contacted via phone (608) 232-3171.Contact Information
Primary practice address
6001 Research Park Blvd
Madison WI 53719-1176
Phone: (608) 232-3171
Fax: (608) 262-9246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 70965 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 84021 | Wisconsin |
Profile Details
| NPI number | 1770088676 |
|---|---|
| LBN Legal business name | Bommersbach, Tanner J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2018 |
| Last updated | Dec 12th, 2024 - about 2 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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