Tham, Jacques C

Tham, Jacques C is an individual health care provider with primary practice located at 1720 Harding Ave Ste 1 , Eau Claire WI 54701-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Tham, Jacques C can be contacted via phone (715) 832-2200.

Contact Information

Primary practice address
1720 Harding Ave Ste 1 Eau Claire WI 54701-4861
Phone: (715) 832-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 51388020 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 100115 Georgia

Profile Details

NPI number 1942461504
LBN Legal business name Tham, Jacques C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated May 23rd, 2024 - about 2 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 1942461504 NPPES
Wisconsin Other 002520205 MEDICARE PTAN
Wisconsin MEDICAID 35328400 MEDICARE PTAN

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