Thomas E. Degrave, Do,Llc
LBN: Thomas E. Degrave, Do,Llc
Thomas E. Degrave, Do,Llc is an health care organization with primary practice located at 4040 Clinton St , West Seneca NY 14224-1519. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Thomas E. Degrave, Do,Llc can be contacted via phone (716) 675-1928, or through Degrave, Thomas Edward via phone (716) 675-1928.
Contact Information
Primary practice address
4040 Clinton St
West Seneca NY 14224-1519
Phone: (716) 675-1928
Fax: (716) 662-5226
Website:
Authorized official contact:
Name: Degrave, Thomas Edward Doctor of Osteopathy (DO)
Phone: (716) 675-1928
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 173319 | New York |
Profile Details
| NPI number | 1790816387 |
|---|---|
| LBN Legal business name | Thomas E. Degrave, Do,Llc |
| DBA Doing business as | |
| Authorized official | Degrave, Thomas Edward Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790816387 | NPPES |
| New York | Other | 000511109002 | BCBS |
| New York | Other | 0105938 | BCBS |
| New York | Other | 00010043003 | BCBS |
| New York | MEDICAID | 01789519 | BCBS |
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