Hegarty, Thomas John

Hegarty, Thomas John is an individual health care provider with primary practice located at 204 Cleveland St , Great Bend KS 67530-3563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Hegarty, Thomas John can be contacted via phone (620) 792-5511.

Contact Information

Primary practice address
204 Cleveland St Great Bend KS 67530-3563
Phone: (620) 792-5511
Fax: (620) 792-5977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 49536 Minnesota
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X T-03795 Kansas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 04-36965 Kansas

Profile Details

NPI number 1730246463
LBN Legal business name Hegarty, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 12th, 2021 - about 5 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 1730246463 NPPES
Kansas MEDICAID 201089590A
Kansas MEDICAID 200577870A
Kansas MEDICAID 201089590B

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