Thomas, Michele M.
Thomas, Michele M. is an individual health care provider with primary practice located at 15838 Fountain Plaza Dr Ste A , Chesterfield MO 63017-7469. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Michele M. can be contacted via phone (636) 484-5277.Contact Information
Primary practice address
15838 Fountain Plaza Dr Ste A
Chesterfield MO 63017-7469
Phone: (636) 484-5277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036108858 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2005022502 | Missouri |
Profile Details
| NPI number | 1326020041 |
|---|---|
| LBN Legal business name | Thomas, Michele M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | May 16th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326020041 | NPPES |
| Illinois | Other | 7177512 | AETNA |
| Illinois | MEDICAID | $$$$$$$$$ | AETNA |
| Illinois | Other | 08221955 | AETNA |
| Illinois | MEDICAID | 376020408401 | AETNA |
| Illinois | Other | 617915 | AETNA |
| Illinois | Other | 000000012859 | AETNA |
| Illinois | Other | 000000013035 | AETNA |
| Illinois | MEDICAID | 1326020041 | AETNA |
| Illinois | Other | 202018 | AETNA |
| Illinois | Other | 265231 | AETNA |
| Illinois | Other | H45950 | AETNA |
| Illinois | Other | 0107929 | AETNA |
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