Prudhomme, Michael Thomas

Prudhomme, Michael Thomas is an individual health care provider with primary practice located at 13638 Sibley Rd , Riverview MI 48193-7406. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Prudhomme, Michael Thomas can be contacted via phone (734) 288-3739.

Contact Information

Primary practice address
13638 Sibley Rd Riverview MI 48193-7406
Phone: (734) 288-3739
Fax: (734) 288-3745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501010391 Michigan

Profile Details

NPI number 1548564255
LBN Legal business name Prudhomme, Michael Thomas
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2011
Last updated Aug 28th, 2014 - about 12 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 1548564255 NPPES
Michigan Other OH28738 BCBSM PIN

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