Lebeau, Thomas Anthony

Lebeau, Thomas Anthony is an individual health care provider with primary practice located at 1 Saint Johns Medical Park Dr , St Augustine FL 32086-5300. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lebeau, Thomas Anthony can be contacted via phone (904) 824-0869.

Contact Information

Primary practice address
1 Saint Johns Medical Park Dr St Augustine FL 32086-5300
Phone: (904) 824-0869
Fax: (904) 826-0966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001508 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3385 Florida

Profile Details

NPI number 1659587897
LBN Legal business name Lebeau, Thomas Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Oct 18th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659587897 NPPES
Michigan MEDICAID 5184027
Michigan Other 480F37288
Michigan Other P00408087
Michigan MEDICAID 001262300

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