Fulbright, Thomas Wayne

Fulbright, Thomas Wayne is an sole proprietor health care provider with primary practice located at 8901 W 74Th St Ste 2 , Shawnee Mission KS 66204-2201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fulbright, Thomas Wayne can be contacted via phone (913) 261-2222.

Contact Information

Primary practice address
8901 W 74Th St Ste 2 Shawnee Mission KS 66204-2201
Fax: (913) 261-2229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2008009944 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2008009944 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0421422 Kansas

Profile Details

NPI number 1548213119
LBN Legal business name Fulbright, Thomas Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jul 27th, 2022 - about 3 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 1548213119 NPPES
Kansas Other 19774052 BLUE CROSS BLUE SHIELD KC

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