Smith, Thomas M
Smith, Thomas M is an individual health care provider with primary practice located at 1801 S Highland Ave # 220 , Lombard IL 60148-4932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Thomas M can be contacted via phone (630) 790-1872.Contact Information
Primary practice address
1801 S Highland Ave # 220
Lombard IL 60148-4932
Phone: (630) 790-1872
Fax: (630) 873-8812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101016040 | Michigan |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036123723 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34.008112 | Ohio |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 103723 | Minnesota |
Profile Details
NPI number | 1538281035 |
---|---|
LBN Legal business name | Smith, Thomas M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2007 |
Last updated | Feb 11th, 2021 - about 3 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 | 1538281035 | NPPES |
Minnesota | MEDICAID | ENROLLED |
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