Thoms, Matthew W.

Thoms, Matthew W. is an individual health care provider with primary practice located at 707 S Monroe St , Enid OK 73701-7286. 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. Thoms, Matthew W. can be contacted via phone (580) 616-7630.

Contact Information

Primary practice address
707 S Monroe St Enid OK 73701-7286
Phone: (580) 616-7630
Fax: (580) 237-7516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1103 Oklahoma

Profile Details

NPI number 1710974506
LBN Legal business name Thoms, Matthew W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 12th, 2018 - about 8 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 1710974506 NPPES
Oklahoma MEDICAID 100210100A
Oklahoma Other P01318823

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