Basch, Thomas Michael

Basch, Thomas Michael is an individual health care provider with primary practice located at 2147 Health Dr Sw Ste 100 , Wyoming MI 49519-9675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Basch, Thomas Michael can be contacted via phone (616) 281-1600.

Contact Information

Primary practice address
2147 Health Dr Sw Ste 100 Wyoming MI 49519-9675
Phone: (616) 281-1600
Fax: (616) 281-2247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301063063 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301063063 Michigan

Profile Details

NPI number 1619930575
LBN Legal business name Basch, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 6th, 2021 - about 4 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 1619930575 NPPES
Michigan MEDICAID 4606560-10
Michigan Other 5070255
Michigan Other 7000034231
Michigan MEDICAID 4514558-10
Michigan Other 7624881
Michigan Other 16642
Michigan Other P00061534
Michigan Other 550415528
Michigan MEDICAID 4606551-10

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