Pannke, Thomas Scott

Pannke, Thomas Scott is an individual health care provider with primary practice located at 601 Martin Luther King Ave Ne , Albuquerque NM 87102-3619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pannke, Thomas Scott can be contacted via phone (505) 727-8000.

Contact Information

Primary practice address
601 Martin Luther King Ave Ne Albuquerque NM 87102-3619
Phone: (505) 727-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60793240 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41606-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 9372-A Wyoming
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD2014-0522 New Mexico

Profile Details

NPI number 1396779716
LBN Legal business name Pannke, Thomas Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 15th, 2019 - 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 1396779716 NPPES
Wisconsin Other 930079986 MEDICARE RAILROAD
Wisconsin MEDICAID 31814700 MEDICARE RAILROAD
Wisconsin Other 930078269 MEDICARE RAILROAD
Wisconsin MEDICAID 104160666 MEDICARE RAILROAD
Wisconsin Other 930106591 MEDICARE RAILROAD

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