Talbut, Dorrence Coney
Talbut, Dorrence Coney is an individual health care provider with primary practice located at 5757 Monclova Rd #2, Maumee OH 43537-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Talbut, Dorrence Coney can be contacted via phone (419) 893-7607.Contact Information
Primary practice address
5757 Monclova Rd #2
Maumee OH 43537-1863
Phone: (419) 893-7607
Fax: (419) 893-7608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3502 0459T | Ohio |
Profile Details
| NPI number | 1558360545 |
|---|---|
| LBN Legal business name | Talbut, Dorrence Coney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1558360545 | NPPES |
| Michigan | MEDICAID | 335611 | |
| Michigan | Other | 448094 | |
| Michigan | MEDICAID | 47069 |
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