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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1245214741 | NPPES |
| Michigan | MEDICAID | 105452413 |
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