Provider Demographics
NPI:1386687028
Name:THOMAS, ALLISON S (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:S
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1250 COLUMBIA AVE E
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5159
Mailing Address - Country:US
Mailing Address - Phone:268-883-6052
Mailing Address - Fax:269-282-1245
Practice Address - Street 1:1250 COLUMBIA AVE E
Practice Address - Street 2:SUITE A
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5159
Practice Address - Country:US
Practice Address - Phone:269-883-6052
Practice Address - Fax:269-282-1245
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2014-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI059578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4300678Medicaid
MI4300678Medicaid
MI0M98600012Medicare PIN
MIN25600002Medicare PIN