Etter, Thomas H
Etter, Thomas H is an sole proprietor health care provider with primary practice located at 902 Blackburn St , Cody WY 82414-8494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Etter, Thomas H can be contacted via phone (307) 296-1355.Contact Information
Primary practice address
902 Blackburn St
Cody WY 82414-8494
Phone: (307) 296-1355
Fax: (307) 586-5464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TL2094 | Wyoming |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2006003130 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9334A | Wyoming |
Profile Details
| NPI number | 1154562791 |
|---|---|
| LBN Legal business name | Etter, Thomas H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2009 |
| Last updated | Aug 10th, 2022 - about 4 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 | 1154562791 | NPPES |
| Missouri | Other | 28058 | GHP |
| Missouri | Other | 921792 | GHP |
| Missouri | MEDICAID | 1154562791 | GHP |
| Missouri | Other | 622086 | GHP |
| Missouri | Other | 9847314 | GHP |
| Missouri | Other | 12740475 | GHP |
| Missouri | Other | 12740475 | GHP |
| Missouri | Other | 3032610 | GHP |
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