Slota, Thomas

Slota, Thomas is an sole proprietor health care provider with primary practice located at 3070 N 51St St Suite 402, Milwaukee WI 53210-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Slota, Thomas can be contacted via phone (414) 463-2459.

Contact Information

Primary practice address
3070 N 51St St Suite 402 Milwaukee WI 53210-1645
Fax: (414) 463-2728
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 21852 Wisconsin

Profile Details

NPI number 1578521647
LBN Legal business name Slota, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Apr 16th, 2014 - about 12 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 1578521647 NPPES
Wisconsin MEDICAID 30330800

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