Macabobby, Thomas Donald

Macabobby, Thomas Donald is an individual health care provider with primary practice located at 8423 Market St Ste 101, Boardman OH 44512-6778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macabobby, Thomas Donald can be contacted via phone (330) 729-8700.

Contact Information

Primary practice address
8423 Market St Ste 101 Boardman OH 44512-6778
Fax: (330) 729-8701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-085267 Ohio

Profile Details

NPI number 1104820059
LBN Legal business name Macabobby, Thomas Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 31st, 2016 - 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 1104820059 NPPES
Ohio MEDICAID 2551886
Ohio Other H143780

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