Elgin, Thomas Michael

Elgin, Thomas Michael is an sole proprietor health care provider with primary practice located at Santa Rosa Memorial Hospital 1165 Montgomery Drive, Santa Rosa CA 95405-4897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Elgin, Thomas Michael can be contacted via phone (707) 552-1573.

Contact Information

Primary practice address
Santa Rosa Memorial Hospital 1165 Montgomery Drive Santa Rosa CA 95405-4897
Phone: (707) 552-1573
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A55569 California

Profile Details

NPI number 1912948480
LBN Legal business name Elgin, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1912948480 NPPES
California MEDICAID 00A555690

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