Healthcare Provider Details

I. General information

NPI: 1841341161
Provider Name (Legal Business Name): JAMES THOMAS TOREY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22101 MOROSS RD
DETROIT MI
48236-2148
US

IV. Provider business mailing address

28842 ROCKWOOD ST
SAINT CLAIR SHORES MI
48081-3248
US

V. Phone/Fax

Practice location:
  • Phone: 313-343-7945
  • Fax:
Mailing address:
  • Phone: 586-779-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601002125
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: