Schermerhorn, Thomas Carll

Schermerhorn, Thomas Carll is an individual health care provider with primary practice located at 1221 Sixth St Ste 300 , Traverse City MI 49684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Schermerhorn, Thomas Carll can be contacted via phone (231) 392-0640.

Contact Information

Primary practice address
1221 Sixth St Ste 300 Traverse City MI 49684
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301083353 Michigan

Profile Details

NPI number 1518962026
LBN Legal business name Schermerhorn, Thomas Carll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Dec 29th, 2020 - about 6 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 1518962026 NPPES
Michigan Other 130B813210 BCBS GROUP
Michigan MEDICAID 4625744 TYPE 10 BCBS GROUP
Michigan Other 1402810380 BCBS GROUP
Michigan Other P00344571 BCBS GROUP

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