Knutson, Thomas J.

Knutson, Thomas J. is an individual health care provider with primary practice located at 103 1St St , Oconto WI 54153-1117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Knutson, Thomas J. can be contacted via phone (920) 835-1144.

Contact Information

Primary practice address
103 1St St Oconto WI 54153-1117
Fax: (920) 835-1145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25152 Wisconsin

Profile Details

NPI number 1760462352
LBN Legal business name Knutson, Thomas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 18th, 2013 - about 8 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 1760462352 NPPES
Wisconsin Other 1851477913 CMH NPI
Wisconsin Other 1467583278 CMH NPI
Wisconsin MEDICAID 11014110 CMH NPI
Wisconsin Other 080193662 CMH NPI
Wisconsin MEDICAID 30674900 CMH NPI

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