Rohde, Thomas W
Rohde, Thomas W is an individual health care provider with primary practice located at 3798 E Fulton Ave , Decatur IL 62521-5053. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rohde, Thomas W can be contacted via phone (217) 864-2700.Contact Information
Primary practice address
3798 E Fulton Ave
Decatur IL 62521-5053
Phone: (217) 864-2700
Fax: (217) 422-3930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-081038 | Illinois |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | A46499 | California |
Profile Details
| NPI number | 1407833163 |
|---|---|
| LBN Legal business name | Rohde, Thomas W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Oct 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407833163 | NPPES |
| Illinois | MEDICAID | 036081038 | |
| Illinois | Other | K39345 |
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