Koehler, Thomas Frederick
Koehler, Thomas Frederick is an individual health care provider with primary practice located at 24307 Harper Ave , Saint Clair Shores MI 48080-1271. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koehler, Thomas Frederick can be contacted via phone (586) 775-6733.Contact Information
Primary practice address
24307 Harper Ave
Saint Clair Shores MI 48080-1271
Phone: (586) 775-6733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003134 | Michigan |
Profile Details
| NPI number | 1467778928 |
|---|---|
| LBN Legal business name | Koehler, Thomas Frederick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2010 |
| Last updated | Oct 7th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467778928 | NPPES |
| Michigan | MEDICAID | 2308741 |
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