Nussdorfer, Thomas C
Nussdorfer, Thomas C is an individual health care provider with primary practice located at 3074 N Us 31 S , Traverse City MI 49684-4533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nussdorfer, Thomas C can be contacted via phone (231) 929-1234.Contact Information
Primary practice address
3074 N Us 31 S
Traverse City MI 49684-4533
Phone: (231) 929-1234
Fax: (231) 935-0984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301046246 | Michigan |
Profile Details
| NPI number | 1134124662 |
|---|---|
| LBN Legal business name | Nussdorfer, Thomas C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1134124662 | NPPES |
| Michigan | Other | 383530686052 | COMMUNITY CHOICE |
| Michigan | Other | 0B81066 | COMMUNITY CHOICE |
| Michigan | Other | 1134124662 | COMMUNITY CHOICE |
| Michigan | MEDICAID | 1134124662 | COMMUNITY CHOICE |
| Michigan | Other | 349386200 | COMMUNITY CHOICE |
| Michigan | MEDICAID | 4391565 | COMMUNITY CHOICE |
| Michigan | Other | 700B810660 | COMMUNITY CHOICE |
| Michigan | Other | A75289 | COMMUNITY CHOICE |
| Michigan | Other | 000000008993 | COMMUNITY CHOICE |
| Michigan | Other | 121591 | COMMUNITY CHOICE |
| Michigan | Other | 132959 | COMMUNITY CHOICE |
| Michigan | Other | 1851344964 | COMMUNITY CHOICE |
| Michigan | Other | 383530686 | COMMUNITY CHOICE |
| Michigan | Other | 1134124662 | COMMUNITY CHOICE |
| Michigan | Other | 080189368 | COMMUNITY CHOICE |
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