Davis, Thomas James

Davis, Thomas James is an individual health care provider with primary practice located at 404 W Central St , Springfield MN 56087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Thomas James can be contacted via phone (507) 227-5517.

Contact Information

Primary practice address
404 W Central St Springfield MN 56087
Phone: (507) 227-5517
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43290 Minnesota

Profile Details

NPI number 1043288269
LBN Legal business name Davis, Thomas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 23rd, 2014 - about 12 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 1043288269 NPPES
Minnesota MEDICAID 488865100

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