Ahlstrom, Troy W
Ahlstrom, Troy W is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ahlstrom, Troy W can be contacted via phone (231) 947-0673.Contact Information
Primary practice address
1105 6Th St
Traverse City MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301070208 | Michigan |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 4301070208 | Michigan |
Profile Details
NPI number | 1548265911 |
---|---|
LBN Legal business name | Ahlstrom, Troy W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2005 |
Last updated | Sep 14th, 2007 - about 17 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 | 1548265911 | NPPES |
Michigan | Other | TA070208 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4724887 | BLUE CROSS BLUE SHIELD |
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