Thomas, Michael I

Thomas, Michael I is an sole proprietor health care provider with primary practice located at 1355 Riverside Ave Ste C , Fort Collins CO 80524-4366. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Thomas, Michael I can be contacted via phone (970) 484-4620.

Contact Information

Primary practice address
1355 Riverside Ave Ste C Fort Collins CO 80524-4366
Phone: (970) 484-4620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD.0000460 Colorado
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD.0000460 Colorado

Profile Details

NPI number 1164458006
LBN Legal business name Thomas, Michael I
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Jan 10th, 2017 - about 7 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 1164458006 NPPES
Wyoming MEDICAID 113903700
Wyoming MEDICAID 01004605

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