Bacevich, Thomas
Bacevich, Thomas is an individual health care provider with primary practice located at 7905 Calumet Ave Hammond Clinic Llc, Munster IN 46321-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bacevich, Thomas can be contacted via phone (219) 836-7214.Contact Information
Primary practice address
7905 Calumet Ave Hammond Clinic Llc
Munster IN 46321-1215
Phone: (219) 836-7214
Fax: (219) 836-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035070A | Indiana |
Profile Details
| NPI number | 1326087529 |
|---|---|
| LBN Legal business name | Bacevich, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Apr 7th, 2015 - about 10 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 | 1326087529 | NPPES |
| Indiana | MEDICAID | 100204410A |
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