Thomas H. Nolen
Foot & Ankle Surgery
624 W Main St
Salem
, Illinois 62881-1403
Thomas H. Nolen
Foot & Ankle Surgery
624 W Main St
Salem
, Illinois 62881-1403
(618) 548-9611
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Thomas H. Nolen
- 624 W Main St
- Salem, IL
- Zip : 62881-1403
- Fax : (618) 548-9611
- Phone : (618) 548-0057
Second Address
- Thomas H. Nolen
- 624 W Main St
- Salem, IL
- Zip : 62881-1403
- Fax : (618) 548-9611
- Phone : (618) 548-0057
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 016-004182 | IL |
National Provider Identifier
| NPI | 1083602718 |
|---|---|
| Provider Name | Thomas H. Nolen |
| First Address | Salem, IL 62881-1403 |
| Second Address | Salem, IL 62881-1403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2005 |
| Last Update Date | 15/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016004182 | (05) | IL |
| 135686 | HEALTHLINK (01) | IL |
| 60115194 | BCBS, MTVERNON, IL OFFIC (01) | IL |
| 6106002 | BCBS, SALEM, IL OFFICE (01) | IL |
| 6106004 | BCBS, CENTRALIA, IL OF (01) | IL |
| T39117 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.