Petroff, Thomas
Petroff, Thomas is an individual health care provider with primary practice located at 2445 Jolly Rd Suite 100, Okemos MI 48864-4590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Petroff, Thomas can be contacted via phone (517) 347-4040.Contact Information
Primary practice address
2445 Jolly Rd Suite 100
Okemos MI 48864-4590
Phone: (517) 347-4040
Fax: (517) 347-4109
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5101011412 | Michigan |
Profile Details
NPI number | 1578542452 |
---|---|
LBN Legal business name | Petroff, Thomas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578542452 | NPPES |
Michigan | Other | G13956 | HEALTH NET FEDERAL SERVIC |
Michigan | Other | 0700090 | HEALTH NET FEDERAL SERVIC |
Michigan | MEDICAID | 4308415 | HEALTH NET FEDERAL SERVIC |
Michigan | Other | 1653300644 | HEALTH NET FEDERAL SERVIC |
Michigan | Other | 252501 | HEALTH NET FEDERAL SERVIC |
Michigan | Other | 252501 | HEALTH NET FEDERAL SERVIC |
Michigan | Other | 4651172 | HEALTH NET FEDERAL SERVIC |
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