Provider Demographics
NPI:1730121773
Name:HURM, THOMAS J (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:HURM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:809 W MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1656
Mailing Address - Country:US
Mailing Address - Phone:419-678-2381
Mailing Address - Fax:419-678-2040
Practice Address - Street 1:809 W MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1656
Practice Address - Country:US
Practice Address - Phone:419-678-2381
Practice Address - Fax:419-678-2040
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34007343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2203672Medicaid
H15432Medicare UPIN
OH2203672Medicaid