Abbott, Thomas M
Abbott, Thomas M is an individual health care provider with primary practice located at 1200 East 3900 South , Salt Lake City UT 84124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Abbott, Thomas M can be contacted via phone (801) 268-7177.Contact Information
Primary practice address
1200 East 3900 South
Salt Lake City UT 84124
Phone: (801) 268-7177
Fax: (801) 270-3352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 1565961205 | Utah |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 1565961205 | Utah |
Profile Details
| NPI number | 1780629782 |
|---|---|
| LBN Legal business name | Abbott, Thomas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 29th, 2012 - about 12 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 | 1780629782 | NPPES |
| Utah | MEDICAID | 04919 | |
| Utah | MEDICAID | 870615840003 |
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