Macholan, Thomas

Macholan, Thomas is an individual health care provider with primary practice located at 3380 44Th St Sw , Grandville MI 49418-2461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macholan, Thomas can be contacted via phone (616) 685-8250.

Contact Information

Primary practice address
3380 44Th St Sw Grandville MI 49418-2461
Phone: (616) 685-8250
Fax: (616) 532-9564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301044818 Michigan

Profile Details

NPI number 1093768574
LBN Legal business name Macholan, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 29th, 2009 - about 15 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 1093768574 NPPES
Michigan MEDICAID 2900180
Michigan MEDICAID 3415715
Michigan MEDICAID 4187712
Michigan MEDICAID 4187730
Michigan MEDICAID 4160942
Michigan MEDICAID 4876824

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