Nathan, Michael Thomas
Nathan, Michael Thomas is an individual health care provider with primary practice located at 300 Ocean Ave Rhc Revere Healthcare Center, Revere MA 02151-3675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nathan, Michael Thomas can be contacted via phone (781) 485-6300.Contact Information
Primary practice address
300 Ocean Ave Rhc Revere Healthcare Center
Revere MA 02151-3675
Phone: (781) 485-6300
Fax: (781) 485-6392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72450 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 72450 | Massachusetts |
Profile Details
| NPI number | 1821070160 |
|---|---|
| LBN Legal business name | Nathan, Michael Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Apr 16th, 2014 - about 11 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 | 1821070160 | NPPES |
| Massachusetts | Other | 072450 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3078531 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J11198 | TUFTS HEALTH PLAN |
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