Brummett, Thomas B

Brummett, Thomas B is an individual health care provider with primary practice located at 3 Professional Dr Ste B, Alton IL 62002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Brummett, Thomas B can be contacted via phone (618) 465-7177.

Contact Information

Primary practice address
3 Professional Dr Ste B Alton IL 62002
Phone: (618) 465-7177
Fax: (618) 465-7176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036072125 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 036072125 Illinois

Profile Details

NPI number 1366550352
LBN Legal business name Brummett, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 18th, 2016 - 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 1366550352 NPPES
Illinois MEDICAID 036072125

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