Degrave, Thomas Edward

Degrave, Thomas Edward is an individual health care provider with primary practice located at 3670 S Benzing Rd , Orchard Park NY 14127-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Degrave, Thomas Edward can be contacted via phone (716) 662-5357.

Contact Information

Primary practice address
3670 S Benzing Rd Orchard Park NY 14127-1705
Phone: (716) 662-5357
Fax: (716) 662-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 173319 New York

Profile Details

NPI number 1134187537
LBN Legal business name Degrave, Thomas Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 7th, 2016 - about 8 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 1134187537 NPPES
New York MEDICAID 01789519

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