Roussel, Thomas J

Roussel, Thomas J is an individual health care provider with primary practice located at 329 West 40Th Street , Scottsbluff NE 69361-4634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roussel, Thomas J can be contacted via phone (308) 635-3911.

Contact Information

Primary practice address
329 West 40Th Street Scottsbluff NE 69361-4634
Phone: (308) 635-3911
Fax: (308) 635-3130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 18259 Nebraska

Profile Details

NPI number 1548354178
LBN Legal business name Roussel, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 11th, 2021 - about 5 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 1548354178 NPPES
South Dakota MEDICAID 7796362
South Dakota MEDICAID 102910000

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