Atherton, Justin Thomas

Atherton, Justin Thomas is an individual health care provider with primary practice located at 1725 E 19Th St Suite 800, Tulsa OK 74104-5472. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Atherton, Justin Thomas can be contacted via phone (918) 301-2505.

Contact Information

Primary practice address
1725 E 19Th St Suite 800 Tulsa OK 74104-5472
Phone: (918) 301-2505
Fax: (918) 744-3633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19797 Oklahoma
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 19797 Oklahoma
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 19797 Oklahoma

Profile Details

NPI number 1912935644
LBN Legal business name Atherton, Justin Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 9th, 2010 - about 14 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 1912935644 NPPES
Oklahoma MEDICAID 100131760A
Oklahoma Other 020045078

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