Thursby, Michael A
Thursby, Michael A is an individual health care provider with primary practice located at 318 Waterman Ave , East Providence RI 02914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Thursby, Michael A can be contacted via phone (401) 438-5950.Contact Information
Primary practice address
318 Waterman Ave
East Providence RI 02914
Phone: (401) 438-5950
Fax: (401) 435-6700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 213316 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 00502 | Rhode Island |
Profile Details
| NPI number | 1669455192 |
|---|---|
| LBN Legal business name | Thursby, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Aug 11th, 2020 - 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 | 1669455192 | NPPES |
| Massachusetts | MEDICAID | 110005090A | |
| Massachusetts | Other | 110231848 | |
| Massachusetts | Other | 405620 | |
| Massachusetts | MEDICAID | 9022203 | |
| Massachusetts | Other | 000000037167 | |
| Massachusetts | Other | 459232 | |
| Massachusetts | Other | 692775 | |
| Massachusetts | Other | 3100290 | |
| Massachusetts | Other | J25258 | |
| Massachusetts | Other | 502 | |
| Massachusetts | Other | 7484643 | |
| Massachusetts | Other | 1305389001 | |
| Massachusetts | Other | 4132 |
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