Thomas, Michelle

Thomas, Michelle is an individual health care provider with primary practice located at 279 Summit Dr , Waterford MI 48328-3364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thomas, Michelle can be contacted via phone (248) 724-7700.

Contact Information

Primary practice address
279 Summit Dr Waterford MI 48328-3364
Fax: (248) 636-4025
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704130444 Michigan

Profile Details

NPI number 1306994090
LBN Legal business name Thomas, Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 5th, 2015 - about 9 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 1306994090 NPPES
Michigan MEDICAID 4726059

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