Tobin, Keith M

Tobin, Keith M is an individual health care provider with primary practice located at 28701 Plymouth Rd , Livonia MI 48150-2335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tobin, Keith M can be contacted via phone (734) 427-9900.

Contact Information

Primary practice address
28701 Plymouth Rd Livonia MI 48150-2335
Phone: (734) 427-9900
Fax: (734) 427-8963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101010694 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 5101010694 Michigan

Profile Details

NPI number 1083611560
LBN Legal business name Tobin, Keith M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 9th, 2007 - about 18 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 1083611560 NPPES
Michigan MEDICAID 4082200
Michigan Other 5101010694
Michigan Other 5820442
Michigan Other 993699
Michigan Other F05096
Michigan Other C4002
Michigan Other P86747

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