Thomas, Thomas K

Thomas, Thomas K is an individual health care provider with primary practice located at 22480 Kelly Rd Suite 2, Eastpointe MI 48021-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomas, Thomas K can be contacted via phone (586) 776-3340.

Contact Information

Primary practice address
22480 Kelly Rd Suite 2 Eastpointe MI 48021-2623
Phone: (586) 776-3340
Fax: (586) 778-6460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301040256 Michigan

Profile Details

NPI number 1376732073
LBN Legal business name Thomas, Thomas K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Feb 28th, 2008 - about 16 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 1376732073 NPPES
Michigan MEDICAID 1361698
Michigan Other 71020001500026

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