Carnine, Thaddeus Alan
Carnine, Thaddeus Alan is an individual health care provider with primary practice located at 2017 W I 35 Frontage Rd Ste 250 , Edmond OK 73013-8561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carnine, Thaddeus Alan can be contacted via phone (405) 757-3340.Contact Information
Primary practice address
2017 W I 35 Frontage Rd Ste 250
Edmond OK 73013-8561
Phone: (405) 757-3340
Fax: (405) 757-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 22939 | Oklahoma |
Profile Details
| NPI number | 1821190174 |
|---|---|
| LBN Legal business name | Carnine, Thaddeus Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Mar 29th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821190174 | NPPES |
| Oklahoma | MEDICAID | 200166750A |
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