Smedberg, Thomas Carl

Smedberg, Thomas Carl is an individual health care provider with primary practice located at 118 W Maple Ave , Beaver Dam WI 53916-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smedberg, Thomas Carl can be contacted via phone (920) 356-1000.

Contact Information

Primary practice address
118 W Maple Ave Beaver Dam WI 53916-2104
Phone: (920) 356-1000
Fax: (920) 356-0719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 51029 Wisconsin

Profile Details

NPI number 1912077140
LBN Legal business name Smedberg, Thomas Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 4th, 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 1912077140 NPPES
Wisconsin MEDICAID 100024431
Wisconsin Other 61337

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