Mogen, Thomas C

Mogen, Thomas C is an individual health care provider with primary practice located at 205 Roanoke St , Christiansburg VA 24073-3025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mogen, Thomas C can be contacted via phone (540) 381-6000.

Contact Information

Primary practice address
205 Roanoke St Christiansburg VA 24073-3025
Phone: (540) 381-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-043065 Virginia

Profile Details

NPI number 1558343079
LBN Legal business name Mogen, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 9th, 2020 - about 6 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 1558343079 NPPES
Virginia MEDICAID 5600995
Virginia MEDICAID 010029155

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