Runyon, Thomas E

Runyon, Thomas E is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2479. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Runyon, Thomas E can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28077348A Indiana

Profile Details

NPI number 1932163425
LBN Legal business name Runyon, Thomas E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 15th, 2016 - about 10 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 1932163425 NPPES
Indiana Other 000000479819 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200814340 ANTHEM PROVIDER NUMBER
Indiana Other 9466774 ANTHEM PROVIDER NUMBER

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