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Contact Information

THOMAS P BATHRICK, DO
1432 LINCOLN WAY E
SOUTH BEND, IN46613-3205
 Phone: 574-234-0851
 Fax: 574-234-7072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THOMAS P BATHRICK · (Male)

NPI Number 1285646711
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/13/2006
Last updated 12/04/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02000736A
  • IN Medicaid 100139490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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