Healthcare Provider Details

I. General information

NPI: 1568572808
Provider Name (Legal Business Name): THOMAS SAVOIE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 FOX HOUND WAY APT 1B
FORT WAYNE IN
46804-2343
US

IV. Provider business mailing address

PO BOX 404480
ATLANTA GA
30384-4480
US

V. Phone/Fax

Practice location:
  • Phone: 219-436-3603
  • Fax:
Mailing address:
  • Phone: 877-874-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number02000980B
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: