Smith, Thomas G

Smith, Thomas G is an individual health care provider with primary practice located at 8950 Professional Dr , Cadillac MI 49601-8599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Thomas G can be contacted via phone (231) 775-2493.

Contact Information

Primary practice address
8950 Professional Dr Cadillac MI 49601-8599
Fax: (231) 775-2570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TS048898 Michigan

Profile Details

NPI number 1245238989
LBN Legal business name Smith, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 1st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245238989 NPPES
Michigan MEDICAID 2904151
Michigan Other 103493
Michigan Other 080H376070
Michigan Other 0808300031

Popular Providers