Thomas A. Kelly D.O. P.C.

LBN: Thomas A. Kelly D.O. P.C.
Thomas A. Kelly D.O. P.C. is an health care organization with primary practice located at 101 E Spicerville Hwy , Eaton Rapids MI 48827-1919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Thomas A. Kelly D.O. P.C. can be contacted via phone (517) 663-2705, or through Kelly, Thomas A via phone (517) 663-2705.

Contact Information

Primary practice address
101 E Spicerville Hwy Eaton Rapids MI 48827-1919
Phone: (517) 663-2705
Fax: (517) 663-9470
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Thomas A Doctor of Osteopathy (DO)
Phone: (517) 663-2705

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101008344 Michigan

Profile Details

NPI number 1366689275
LBN Legal business name Thomas A. Kelly D.O. P.C.
DBA Doing business as
Authorized official Kelly, Thomas A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2009
Last updated Jan 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366689275 NPPES
Michigan Other 0152330085 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 10046150001 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 0279722 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 0100444 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 0152330085 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan MEDICAID 3319192 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 0152330085 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 10046150001 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 202869 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 0152330085 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other P93421 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other 200000002219 BLUE CROSS BLUE SHIELD PPO TRUST
Michigan Other M034742 BLUE CROSS BLUE SHIELD PPO TRUST

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