Brumitt, Tom B.
Brumitt, Tom B. is an individual health care provider with primary practice located at 70 Doctors Park , Cape Girardeau MO 63703-4928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Brumitt, Tom B. can be contacted via phone (573) 334-6071.Contact Information
Primary practice address
70 Doctors Park
Cape Girardeau MO 63703-4928
Phone: (573) 334-6071
Fax: (573) 334-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | R3D61 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R3D61 | Missouri |
Profile Details
| NPI number | 1215943535 |
|---|---|
| LBN Legal business name | Brumitt, Tom B. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 29th, 2021 - about 3 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 | 1215943535 | NPPES |
| Illinois | Other | 036-114381 | IL BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 207296807 | IL BLUE CROSS BLUE SHIELD |
| Illinois | Other | 185214 | IL BLUE CROSS BLUE SHIELD |
| Illinois | Other | 182747 | IL BLUE CROSS BLUE SHIELD |
| Illinois | Other | 063896 | IL BLUE CROSS BLUE SHIELD |
| Illinois | Other | 430954380CAP | IL BLUE CROSS BLUE SHIELD |
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