Rak, Thomas Paul

Rak, Thomas Paul is an sole proprietor health care provider with primary practice located at 415 E Home Rd , Springfield OH 45503-2708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Rak, Thomas Paul can be contacted via phone (937) 399-9997.

Contact Information

Primary practice address
415 E Home Rd Springfield OH 45503-2708
Fax: (937) 399-5633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35-069331R Ohio

Profile Details

NPI number 1124019807
LBN Legal business name Rak, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Dec 17th, 2019 - about 7 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 1124019807 NPPES
Ohio MEDICAID 0207029

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