National Provider Identifier Database

THOMAS H NIETHAMMER MD PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

THOMAS H NIETHAMMER, MD, PC
1333 W 5TH ST
STE 206
SHERIDAN, WY82801
Phone: 307-673-8383
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for THOMAS H NIETHAMMER, MD, PC

NPI Number 1518994961
Legal business name
LBN
THOMAS H NIETHAMMER, MD, PC
Authorized official THOMAS NIETHAMMER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/28/2006
Last updated 11/12/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 3508A
  • WY Medicaid: 122049700
  • WY Other: 02545001 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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