Mayhew, Thomas M
Mayhew, Thomas M is an individual health care provider with primary practice located at 10589 S Highland Dr Ste 4, Sister Bay WI 54234. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mayhew, Thomas M can be contacted via phone (920) 854-5200.Contact Information
Primary practice address
10589 S Highland Dr Ste 4
Sister Bay WI 54234
Phone: (920) 854-5200
Fax: (920) 854-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5002020015 | Wisconsin |
Profile Details
| NPI number | 1790940674 |
|---|---|
| LBN Legal business name | Mayhew, Thomas M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Jul 21st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790940674 | NPPES |
| Wisconsin | MEDICAID | 33368800 |
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