Thoms, Carrie Ann

Thoms, Carrie Ann is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Thoms, Carrie Ann can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301-2253
Fax: (920) 436-1379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 48054 Wisconsin

Profile Details

NPI number 1093734659
LBN Legal business name Thoms, Carrie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 14th, 2008 - about 18 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 1093734659 NPPES
Wisconsin MEDICAID 34643800

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