Thayer, Michael A
Thayer, Michael A is an individual health care provider with primary practice located at 5501 N Portland Ave , Oklahoma City OK 73112-2074. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thayer, Michael A can be contacted via phone (405) 604-6000.Contact Information
Primary practice address
5501 N Portland Ave
Oklahoma City OK 73112-2074
Phone: (405) 604-6000
Fax: (918) 664-2521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1064 | Oklahoma |
Profile Details
| NPI number | 1558364422 |
|---|---|
| LBN Legal business name | Thayer, Michael A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 9th, 2009 - about 17 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 | 1558364422 | NPPES |
| Oklahoma | MEDICAID | 100090360A |
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