Bussineau, Thomas Deverne

Bussineau, Thomas Deverne is an individual health care provider with primary practice located at 615 N Michigan St 1St Fl Hospitalist Ste , South Bend IN 46601-1033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bussineau, Thomas Deverne can be contacted via phone (574) 647-3050.

Contact Information

Primary practice address
615 N Michigan St 1St Fl Hospitalist Ste South Bend IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02008147A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5101025254 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02008147A Indiana

Profile Details

NPI number 1992155055
LBN Legal business name Bussineau, Thomas Deverne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Mar 30th, 2026 - about 7 months 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 1992155055 NPPES
Indiana MEDICAID 300100592

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