George, Thomas
George, Thomas is an individual health care provider with primary practice located at 611 Sherman Ave E , Fort Atkinson WI 53538-1960. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. George, Thomas can be contacted via phone (920) 568-5000.Contact Information
Primary practice address
611 Sherman Ave E
Fort Atkinson WI 53538-1960
Phone: (920) 568-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 21653-875 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125064028 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036140741 | Illinois |
Profile Details
| NPI number | 1922448018 |
|---|---|
| LBN Legal business name | George, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2013 |
| Last updated | Oct 7th, 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 | 1922448018 | NPPES |
| Illinois | Other | 125064028 | PHYSICIAN TEMPORARY LICENSE |
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