Individual
THOMAS R NEIS
Active
Individual
THOMAS R NEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12206
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718852
MT STATE BCBS
WV
05
—
0123448000
—
WV
05
—
0519013
—
OH
01
—
12206A
HEALTH PLAN OF UPPER OH V
—
01
—
300092754
RAILROAD MEDICARE
OH
01
—
300092755
RAILROAD MEDICARE
WV
Enumeration date
03/02/2006
Last updated
07/08/2011
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