Ginnetti, Michael Thomas

Ginnetti, Michael Thomas is an individual health care provider with primary practice located at 1015 S Mercer Ave Ste Gf7 , Bloomington IL 61701-7107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Ginnetti, Michael Thomas can be contacted via phone (309) 660-8442.

Contact Information

Primary practice address
1015 S Mercer Ave Ste Gf7 Bloomington IL 61701-7107
Phone: (309) 660-8442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R-11187 Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X R-11187 Iowa
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.156711 Illinois

Profile Details

NPI number 1316474976
LBN Legal business name Ginnetti, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2017
Last updated Nov 23rd, 2022 - about 2 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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