Gushurst, Thomas Paul

Gushurst, Thomas Paul is an individual health care provider with primary practice located at 3304 Cooley Ct , Portage MI 49024-7340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gushurst, Thomas Paul can be contacted via phone (269) 349-2266.

Contact Information

Primary practice address
3304 Cooley Ct Portage MI 49024-7340
Fax: (269) 349-0792
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X TG054920 Michigan

Profile Details

NPI number 1912962838
LBN Legal business name Gushurst, Thomas Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 12th, 2014 - about 11 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 1912962838 NPPES
Michigan Other 0M92920002 MEDICARE
Michigan Other 1851569958 MEDICARE
Michigan Other 1912962838 MEDICARE
Michigan Other 0P56360002 MEDICARE
Michigan Other 100C914640 MEDICARE
Michigan MEDICAID 1013972926 MEDICARE
Michigan MEDICAID 104717140 MEDICARE
Michigan Other 100C910690 MEDICARE
Michigan Other 1417961137 MEDICARE
Michigan Other 383309299136 MEDICARE
Michigan Other 101118 MEDICARE
Michigan Other TG054920 MEDICARE

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