Buttolph, Thomas Bryan

Buttolph, Thomas Bryan is an individual health care provider with primary practice located at 5440 South St Ste 200 , Lincoln NE 68506-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Buttolph, Thomas Bryan can be contacted via phone (402) 465-1900.

Contact Information

Primary practice address
5440 South St Ste 200 Lincoln NE 68506-2116
Fax:
Website:

Profile Details

NPI number 1972501708
LBN Legal business name Buttolph, Thomas Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jan 17th, 2023 - about last year

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 1972501708 NPPES
Minnesota MEDICAID 399365500

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