Thom, Steven B

Thom, Steven B is an individual health care provider with primary practice located at 712 South Cascade Street , Fergus Falls MN 56537-2813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Thom, Steven B can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 South Cascade Street Fergus Falls MN 56537-2813
Phone: (218) 736-8000
Fax: (218) 736-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7692 North Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 40522 Minnesota

Profile Details

NPI number 1063434637
LBN Legal business name Thom, Steven B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2010 - about 15 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 1063434637 NPPES
North Dakota MEDICAID 10214
North Dakota MEDICAID 641139800

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