Donnellon, Thomas Lee

Donnellon, Thomas Lee is an sole proprietor health care provider with primary practice located at 120 N Delaware St , Sandusky MI 48471-1009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Donnellon, Thomas Lee can be contacted via phone (810) 648-3770.

Contact Information

Primary practice address
120 N Delaware St Sandusky MI 48471-1009
Phone: (810) 648-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301052611 Michigan

Profile Details

NPI number 1073546883
LBN Legal business name Donnellon, Thomas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jun 5th, 2012 - about 13 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 1073546883 NPPES
Michigan MEDICAID 1073546883

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