Bishop, Thomas Ward

Bishop, Thomas Ward is an individual health care provider with primary practice located at 14700 East Old Us 12 , Chelsea MI 48118-1185. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bishop, Thomas Ward can be contacted via phone (734) 475-1321.

Contact Information

Primary practice address
14700 East Old Us 12 Chelsea MI 48118-1185
Phone: (734) 475-1321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P2573 Tennessee
Behavioral Health & Social Service Providers / Family 103TF0000X 6301017038 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301017038 Michigan

Profile Details

NPI number 1760480966
LBN Legal business name Bishop, Thomas Ward
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jun 9th, 2017 - about 7 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 1760480966 NPPES
Tennessee MEDICAID 3980983

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