Thomas, Michelle Denise
Thomas, Michelle Denise is an individual health care provider with primary practice located at 12172 Central Ave #100, Mitchellville MD 20721-1900. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Thomas, Michelle Denise can be contacted via phone (307) 390-5704.Contact Information
Primary practice address
12172 Central Ave #100
Mitchellville MD 20721-1900
Phone: (307) 390-5704
Fax: (301) 464-7921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | D41401 | Maryland |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101056850 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD19906 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 073406 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D41401 | Maryland |
Profile Details
| NPI number | 1659370039 |
|---|---|
| LBN Legal business name | Thomas, Michelle Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 1st, 2021 - about 4 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 | 1659370039 | NPPES |
| Other | 104768800 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP | |
| MEDICAID | 348211100 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP | |
| Other | 0003 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP | |
| Other | 3112384 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP | |
| Other | 35198002 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP | |
| MEDICAID | 384211100 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP | |
| Other | 4348841 | DEPT OF LABOR/FEDERAL WORKMAN'S COMP |
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