King, Thomas Ignatius

King, Thomas Ignatius is an sole proprietor health care provider with primary practice located at 1431 E 12 Mile Rd , Madison Heights MI 48071-2653. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. King, Thomas Ignatius can be contacted via phone (248) 542-5372.

Contact Information

Primary practice address
1431 E 12 Mile Rd Madison Heights MI 48071-2653
Phone: (248) 542-5372
Fax: (248) 398-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X TK001638 Michigan

Profile Details

NPI number 1578586780
LBN Legal business name King, Thomas Ignatius
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jan 27th, 2017 - about 8 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 1578586780 NPPES
Michigan MEDICAID 3361070

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