Tavarone, Thomas N

Tavarone, Thomas N is an individual health care provider with primary practice located at 421 S Baldwin St , Greenville MI 48838-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tavarone, Thomas N can be contacted via phone (616) 225-8667.

Contact Information

Primary practice address
421 S Baldwin St Greenville MI 48838-2102
Phone: (616) 225-8667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301082748 Michigan

Profile Details

NPI number 1245214741
LBN Legal business name Tavarone, Thomas N
Credentials MD, FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 30th, 2013 - about 12 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 1245214741 NPPES
Michigan MEDICAID 105452413

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