Brumley, Thomas B
Brumley, Thomas B is an individual health care provider with primary practice located at 3509 Briarfield Blvd , Maumee OH 43537-9383. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Eye and Vision Services Providers / Ophthalmic. Other Service Providers / Specialist is his primary health care specialty. Brumley, Thomas B can be contacted via phone (419) 865-3866.Contact Information
Primary practice address
3509 Briarfield Blvd
Maumee OH 43537-9383
Phone: (419) 865-3866
Fax: (419) 865-3451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-03-0075 | Ohio |
| Eye and Vision Services Providers / Ophthalmic | 156FX1100X | 35-03-0075 | Ohio |
Profile Details
| NPI number | 1205839453 |
|---|---|
| LBN Legal business name | Brumley, Thomas B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 13th, 2012 - about 14 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 | 1205839453 | NPPES |
| Ohio | MEDICAID | 0202275 |
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