Petinga, Thomas J

Petinga, Thomas J is an individual health care provider with primary practice located at Henry Ford Health System 6777 West Maple Road, West Bloomfield MI 48322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Petinga, Thomas J can be contacted via phone (248) 661-6490.

Contact Information

Primary practice address
Henry Ford Health System 6777 West Maple Road West Bloomfield MI 48322
Phone: (248) 661-6490
Fax: (248) 661-6447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101006927 Michigan

Profile Details

NPI number 1548217706
LBN Legal business name Petinga, Thomas J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548217706 NPPES
Other TP006927 CHAMPUS-CHAMPUS
Other TP006927 CHAMPUS-CHAMPUS

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