Thomas, Scott William

Thomas, Scott William is an sole proprietor health care provider with primary practice located at 1814 S Main St , Broken Arrow OK 74012-6503. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Thomas, Scott William can be contacted via phone (918) 991-5771.

Contact Information

Primary practice address
1814 S Main St Broken Arrow OK 74012-6503
Phone: (918) 991-5771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X 1492 Oklahoma
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 722 Oklahoma

Profile Details

NPI number 1144661729
LBN Legal business name Thomas, Scott William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2013
Last updated Jul 11th, 2013 - about 13 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 1144661729 NPPES
Oklahoma Other 722 OKLAHOMA STATE DEPARTMENT OF HEALTH/LMFT LICENSE
Oklahoma Other 1492 OKLAHOMA STATE DEPARTMENT OF HEALTH/LMFT LICENSE

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