Brummer, Thomas A

Brummer, Thomas A is an individual health care provider with primary practice located at 6149 E Columbia St , Evansville IN 47715-9134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brummer, Thomas A can be contacted via phone (812) 424-2020.

Contact Information

Primary practice address
6149 E Columbia St Evansville IN 47715-9134
Fax: (812) 424-3000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036116693 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01061898A Indiana

Profile Details

NPI number 1275582900
LBN Legal business name Brummer, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Apr 11th, 2019 - about 6 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 1275582900 NPPES
Indiana MEDICAID 200845610
Indiana MEDICAID 64128523

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