Ade, Thomas Daniel
Ade, Thomas Daniel is an sole proprietor health care provider with primary practice located at 550 30Th Ave Ste 12, Moline IL 61265-5975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ade, Thomas Daniel can be contacted via phone (309) 762-5515.Contact Information
Primary practice address
550 30Th Ave Ste 12
Moline IL 61265-5975
Phone: (309) 762-5515
Fax: (309) 762-5519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036068970 | Illinois |
Profile Details
| NPI number | 1568448884 |
|---|---|
| LBN Legal business name | Ade, Thomas Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Nov 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568448884 | NPPES |
| Illinois | MEDICAID | 036068970 |
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