Butcher, Thomas M

Butcher, Thomas M is an individual health care provider with primary practice located at 1611 S Utica Ave Box 217, Tulsa OK 74104-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Butcher, Thomas M can be contacted via phone (918) 744-3664.

Contact Information

Primary practice address
1611 S Utica Ave Box 217 Tulsa OK 74104-4909
Phone: (918) 744-3664
Fax: (918) 748-7688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14278 Oklahoma

Profile Details

NPI number 1417942806
LBN Legal business name Butcher, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Feb 8th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417942806 NPPES
Oklahoma Other 4103530 AETNA
Oklahoma Other 721545605-001 AETNA
Oklahoma MEDICAID 100095620A AETNA

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