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
Phone: (586) 443-5000
Fax: (586) 443-5002
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417004904 | NPPES |
Michigan | MEDICAID | 141702240 |
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