Archambeau, Thomas John

Archambeau, Thomas John is an individual health care provider with primary practice located at 3264 N Evergreen Dr Ne , Grand Rapids MI 49525-9746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Archambeau, Thomas John can be contacted via phone (616) 363-7339.

Contact Information

Primary practice address
3264 N Evergreen Dr Ne Grand Rapids MI 49525-9746
Phone: (616) 363-7339
Fax: (616) 361-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301045566 Michigan

Profile Details

NPI number 1851474977
LBN Legal business name Archambeau, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 4th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851474977 NPPES
Michigan MEDICAID 1691138
Michigan MEDICAID 2726185
Michigan Other 200000001150
Michigan MEDICAID 1691094
Michigan Other 300023165
Michigan Other 300023183

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