Smith, Thomas Gregory

Smith, Thomas Gregory is an sole proprietor health care provider with primary practice located at 30521 Schoenherr Rd Ste 106 , Warren MI 48088-3161. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Thomas Gregory can be contacted via phone (586) 443-5000.

Contact Information

Primary practice address
30521 Schoenherr Rd Ste 106 Warren MI 48088-3161
Fax: (586) 443-5002
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301005117 Michigan

Profile Details

NPI number 1417004904
LBN Legal business name Smith, Thomas Gregory
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417004904 NPPES
Michigan MEDICAID 141702240

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