Bannow, Thomas R
Bannow, Thomas R is an sole proprietor health care provider with primary practice located at 201 S Garfield Ave , Traverse City MI 49686-2960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bannow, Thomas R can be contacted via phone (231) 946-8686.Contact Information
Primary practice address
201 S Garfield Ave
Traverse City MI 49686-2960
Phone: (231) 946-8686
Fax: (231) 935-1455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TB006643 | Michigan |
Profile Details
| NPI number | 1932171857 |
|---|---|
| LBN Legal business name | Bannow, Thomas R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 4th, 2011 - about 14 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 | 1932171857 | NPPES |
| Michigan | MEDICAID | 112773461 | |
| Michigan | Other | 5120235 | |
| Michigan | Other | 080186042 | |
| Michigan | Other | 0852834554 | |
| Michigan | Other | 136442 | |
| Michigan | Other | E26799 |
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