Revitte, Thomas J

Revitte, Thomas J is an individual health care provider with primary practice located at 5010 Gull Rd Ste A, Kalamazoo MI 49048-1093. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Revitte, Thomas J can be contacted via phone (269) 226-8800.

Contact Information

Primary practice address
5010 Gull Rd Ste A Kalamazoo MI 49048-1093
Phone: (269) 226-8800
Fax: (269) 226-8804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704216398 Michigan

Profile Details

NPI number 1730139270
LBN Legal business name Revitte, Thomas J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730139270 NPPES
Michigan MEDICAID 4546810
Michigan Other 50087018880

Popular Providers