King, Thomas Michael

King, Thomas Michael is an individual health care provider with primary practice located at 15290 Pennock Ln , Apple Valley MN 55124-7163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. King, Thomas Michael can be contacted via phone (952) 431-8500.

Contact Information

Primary practice address
15290 Pennock Ln Apple Valley MN 55124-7163
Phone: (952) 431-8500
Fax: (952) 431-6966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29075 Minnesota

Profile Details

NPI number 1700857018
LBN Legal business name King, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 16th, 2009 - about 17 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 1700857018 NPPES
Minnesota MEDICAID 630582200

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