Bumbalo, Thomas
Bumbalo, Thomas is an individual health care provider with primary practice located at 906 Medical Cir , Myrtle Beach SC 29572-4114. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bumbalo, Thomas can be contacted via phone (843) 497-5929.Contact Information
Primary practice address
906 Medical Cir
Myrtle Beach SC 29572-4114
Phone: (843) 497-5929
Fax: (843) 839-1037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36512 | South Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 36512 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 36512 | South Carolina |
Profile Details
| NPI number | 1386759488 |
|---|---|
| LBN Legal business name | Bumbalo, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 28th, 2023 - about last year |
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 | 1386759488 | NPPES |
| South Carolina | MEDICAID | 365125 |
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