Pendergast, Thomas

Pendergast, Thomas is an individual health care provider with primary practice located at 1421 N 7Th St , Terre Haute IN 47807-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Pendergast, Thomas can be contacted via phone (812) 231-4608.

Contact Information

Primary practice address
1421 N 7Th St Terre Haute IN 47807-1005
Phone: (812) 231-4608
Fax: (812) 231-4675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01039492 Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01039492A Indiana

Profile Details

NPI number 1407849094
LBN Legal business name Pendergast, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Sep 25th, 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 1407849094 NPPES
Indiana MEDICAID 100466090

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