Proctor, Todd B

Proctor, Todd B is an sole proprietor health care provider with primary practice located at 2251 N Squirrel Rd Suite 105, Auburn Hills MI 48326-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Proctor, Todd B can be contacted via phone (248) 648-8100.

Contact Information

Primary practice address
2251 N Squirrel Rd Suite 105 Auburn Hills MI 48326-4600
Phone: (248) 648-8100
Fax: (248) 648-8060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301054694 Michigan

Profile Details

NPI number 1316929250
LBN Legal business name Proctor, Todd B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Feb 28th, 2018 - about 8 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 1316929250 NPPES
Michigan MEDICAID 3394295
Michigan Other 0M23890
Michigan Other 040631293

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