Pederson, Thomas Edward

Pederson, Thomas Edward is an individual health care provider with primary practice located at 2715 Damon St , Eau Claire WI 54701-2634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pederson, Thomas Edward can be contacted via phone (715) 834-8471.

Contact Information

Primary practice address
2715 Damon St Eau Claire WI 54701-2634
Phone: (715) 834-8471
Fax: (715) 834-0373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21804-020 Wisconsin

Profile Details

NPI number 1801898895
LBN Legal business name Pederson, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801898895 NPPES
Wisconsin MEDICAID 30216400

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