Pickron, Thomas Bartley

Pickron, Thomas Bartley is an individual health care provider with primary practice located at 30 N 1900 E , Salt Lake City UT 84132-0002. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Pickron, Thomas Bartley can be contacted via phone (801) 581-7124.

Contact Information

Primary practice address
30 N 1900 E Salt Lake City UT 84132-0002
Phone: (801) 581-7124
Fax: (801) 585-1520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M2017 Texas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 93632391205 Utah

Profile Details

NPI number 1598733941
LBN Legal business name Pickron, Thomas Bartley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 11th, 2021 - about 5 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 1598733941 NPPES
Texas MEDICAID 175928401

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