Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 5901001045 | MI |
N | 222Z00000X | Podiatrist | 5901001045 | MI |
Y | 213EP1101X | Primary Podiatric Medicine | 5901001045 | MI |
NPI | 1053317479 |
---|---|
Provider Name | Dr. Thomas Carl Hosey |
First Address | Clinton Township, MI 48038-1644 |
Second Address | Clinton Township, MI 48038-1644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 22/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009651 | MIDWEST HEALTH PLAN (01) | MI |
102168 | CARE CHOICES (01) | MI |
103915 | GREATLAKES (01) | MI |
134618703 | (05) | MI |
135073500 | WORKER COMP (01) | MI |
200826048 | OMNICARE (01) | MI |
4073108 | AETNA (01) | MI |
4618703 | MOLINA (01) | MI |
4618703 | WELLNESS (01) | MI |
480E015590 | BLUE CROSS BLUE SHIELD GP (01) | MI |
5110230001 | ADMINASTAR FEDERAL DME (01) | MI |
55010950 | BLUECROSS BLUESHIELD IND (01) | MI |
C2566 | MCARE (01) | MI |
DB8851 | RAILROAD GROUP (01) | MI |
P00134504 | RAILROAD INDIVIDUAL (01) | MI |
T34046 | (02) | MI |
T34046 | HEALTH ALLIANCE PLAN (01) | MI |