Carnine, Thaddeus Alan

Carnine, Thaddeus Alan is an individual health care provider with primary practice located at 2017 W I 35 Frontage Rd Ste 250 , Edmond OK 73013-8561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carnine, Thaddeus Alan can be contacted via phone (405) 757-3340.

Contact Information

Primary practice address
2017 W I 35 Frontage Rd Ste 250 Edmond OK 73013-8561
Fax: (405) 757-3520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22939 Oklahoma

Profile Details

NPI number 1821190174
LBN Legal business name Carnine, Thaddeus Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Mar 29th, 2018 - about 6 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 1821190174 NPPES
Oklahoma MEDICAID 200166750A

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