Thomas Rice Willett in Green Lake - Family Medicine

Thomas Rice Willett - NPI 1902806243

Thomas Rice Willett is a Family Medicine in Green Lake, Wisconsin. Thomas Rice Willett practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas Rice Willett is 1902806243. The last update date is 2009-12-31.

Thomas Rice Willett's current location address is Po Box 429, Green Lake, Wisconsin. You can contact this provider via phone number 9202943444 and fax number 9202946660. The mailing address for Thomas Rice Willett is Po Box 429, Green Lake, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Rice Willett
Address Po Box 429, Green Lake, Wisconsin
Phone Number 9202943444
Fax Number 9202946660
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1902806243
Provider Enumeration Date 2005-07-28
Last Updated Date 2009-12-31

Provider Mailing Address Detail

Address Po Box 429
City Green Lake
State Wisconsin (WI)
Post Code 549410429
Phone Number 9202943444
Fax Number 9202946660

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 17659
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
391253020 WI TAX IDENTIFICATION NUMBER
30020000 WI --
391253020013 WI BLUE CROSS/BLUE SHIELD

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FAQs about Thomas Rice Willett

What is the unique identification code assigned to Thomas Rice Willett by the Centers for Medicare & Medicaid Services?

The Thomas Rice Willett has been issued the NPI (National Provider Identifier) 1902806243. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Thomas Rice Willett?

The Thomas Rice Willett is physically situated at Po Box 429, in the city of Green Lake, state of WI, with the postal code 549410429.

What is the Thomas Rice Willett's area of specialization and corresponding taxonomy classification?

The Thomas Rice Willett's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Thomas Rice Willett receive its 1902806243 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Rice Willett was assigned its 1902806243 on 2005-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Thomas Rice Willett most recently updated or revised?

The details related to Thomas Rice Willett, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-31.

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