Mathew, Toms P

Mathew, Toms P is an individual health care provider with primary practice located at 19270 Hannan Rd , New Boston MI 48164-9811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mathew, Toms P can be contacted via phone (734) 753-4350.

Contact Information

Primary practice address
19270 Hannan Rd New Boston MI 48164-9811
Phone: (734) 753-4350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301058860 Michigan

Profile Details

NPI number 1417912742
LBN Legal business name Mathew, Toms P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417912742 NPPES
Michigan Other 1108287352 BCBS
Michigan MEDICAID 4095933 BCBS

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