Doerr, Thomas R

Doerr, Thomas R is an sole proprietor health care provider with primary practice located at 213 S Madison St , Traverse City MI 49684-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Doerr, Thomas R can be contacted via phone (231) 947-0220.

Contact Information

Primary practice address
213 S Madison St Traverse City MI 49684-2321
Phone: (231) 947-0220
Fax: (231) 947-1629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X TD036578 Michigan

Profile Details

NPI number 1699886168
LBN Legal business name Doerr, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Apr 30th, 2010 - about 14 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 1699886168 NPPES
Michigan Other 2402800852 BLUE CROSS BLUE SHIELD
Michigan Other 2402800852 BLUE CROSS BLUE SHIELD
Michigan Other 900003054 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 2120993 BLUE CROSS BLUE SHIELD
Michigan Other 382629298 BLUE CROSS BLUE SHIELD

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