Chwierut, Thomas J

Chwierut, Thomas J is an sole proprietor health care provider with primary practice located at 641 W 9 Mile Rd Ste B , Ferndale MI 48220-1779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chwierut, Thomas J can be contacted via phone (248) 544-1333.

Contact Information

Primary practice address
641 W 9 Mile Rd Ste B Ferndale MI 48220-1779
Phone: (248) 544-1333
Fax: (248) 545-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TC006241 Michigan

Profile Details

NPI number 1457417420
LBN Legal business name Chwierut, Thomas J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jun 15th, 2024 - about 5 months 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 1457417420 NPPES
Michigan Other 0156328805 BCBSM
Michigan MEDICAID 4346390 BCBSM

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