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
Phone: (330) 729-8700
Fax: (330) 729-8701
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104820059 | NPPES |
Ohio | MEDICAID | 2551886 | |
Ohio | Other | H143780 |
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