Engle, Thomas Frasier

Engle, Thomas Frasier is an individual health care provider with primary practice located at 1717 S Utica Ave Ste A , Tulsa OK 74104-5346. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Engle, Thomas Frasier can be contacted via phone (918) 748-7557.

Contact Information

Primary practice address
1717 S Utica Ave Ste A Tulsa OK 74104-5346
Phone: (918) 748-7557
Fax: (918) 748-7514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1786 Oklahoma

Profile Details

NPI number 1124265764
LBN Legal business name Engle, Thomas Frasier
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Aug 23rd, 2011 - about 15 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 1124265764 NPPES
Oklahoma MEDICAID 200230740A

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