Tom, Shirley C

Tom, Shirley C is an individual health care provider with primary practice located at 17000 Hubbard Dr , Dearborn MI 48126-4258. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Tom, Shirley C can be contacted via phone (313) 593-7000.

Contact Information

Primary practice address
17000 Hubbard Dr Dearborn MI 48126-4258
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301097230 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301097230 Michigan

Profile Details

NPI number 1639483084
LBN Legal business name Tom, Shirley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Sep 16th, 2016 - about 8 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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