Sweeney, Thomas

Sweeney, Thomas is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sweeney, Thomas can be contacted via phone (574) 647-7459.

Contact Information

Primary practice address
615 N Michigan St South Bend IN 46601-1033
Phone: (574) 647-7459
Fax: (574) 647-3658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101021493 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02001337 Indiana

Profile Details

NPI number 1255394524
LBN Legal business name Sweeney, Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Feb 8th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255394524 NPPES
Indiana MEDICAID 100333170A
Indiana MEDICAID 114340127
Indiana Other 000000181698
Indiana Other 930101009

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