MEDICARE: THUMB INDUSTRIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1952720997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THUMB INDUSTRIES, INC.

Provider Business Mailing Address
First Line	:	1263 SAND BEACH RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-8817
Country	:	US
Telephone Number	:	989-269-9229
Fax Number	:

Provider Business Practice Location Address
First Line	:	1263 SAND BEACH RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-8817
Country	:	US
Telephone Number	:	989-269-9229
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. RHONDA S. WISENBAUGH
Credential	:
Telephone Number	:	989-269-9229

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	04/07/2014

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