Church, Thomas William

Church, Thomas William is an individual health care provider with primary practice located at 730 W Market St , Lima OH 45801-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Church, Thomas William can be contacted via phone (419) 227-3361.

Contact Information

Primary practice address
730 W Market St Lima OH 45801-4602
Phone: (419) 227-3361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.049094 Ohio

Profile Details

NPI number 1629038153
LBN Legal business name Church, Thomas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 26th, 2019 - about 6 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 1629038153 NPPES
Ohio MEDICAID 0758836
Ohio Other 000000177812
Ohio Other 300044081
Ohio Other 300117621

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