| Thomas Street Clinic | |
|
305 Thomas St Allegan MI 49010-9158 | |
| (269) 673-2179 | |
| (269) 673-6992 |
| Full Name | Thomas Street Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 305 Thomas St, Allegan, Michigan |
| Authorized Official Name and Position | Nabil Nouna (OWNER) |
| Authorized Official Contact | 2696732179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Street Clinic 305 Thomas St Allegan MI 49010-9158 Ph: (269) 673-2179 | Thomas Street Clinic 305 Thomas St Allegan MI 49010-9158 Ph: (269) 673-2179 |
| NPI Number | 1508813114 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 06/18/2009 |
| Medicare PECOS PAC ID | 4183636954 |
|---|---|
| Medicare Enrollment ID | O20060616000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508813114 | NPI | - | NPPES |
| 110Z310760 | Other | MI | BLUE CROSS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nabil Nouna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770540205 PECOS PAC ID: 4183512247 Enrollment ID: I20040309001171 |
| Provider Name | Amy Lynn Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134372907 PECOS PAC ID: 2264661420 Enrollment ID: I20140210001478 |
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