Farley, Thomas M.

Farley, Thomas M. is an individual health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Farley, Thomas M. can be contacted via phone (920) 498-4200.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Phone: (920) 498-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30895-020 Wisconsin

Profile Details

NPI number 1356324990
LBN Legal business name Farley, Thomas M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356324990 NPPES
Wisconsin MEDICAID 31557800

Popular Providers