Carter, Thomas M

Carter, Thomas M is an individual health care provider with primary practice located at 400 Fairview Ave Suite 21, Ponca City OK 74601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carter, Thomas M can be contacted via phone (580) 765-3356.

Contact Information

Primary practice address
400 Fairview Ave Suite 21 Ponca City OK 74601
Fax: (580) 765-3353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 8690 Oklahoma

Profile Details

NPI number 1205878055
LBN Legal business name Carter, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 29th, 2009 - about 16 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 1205878055 NPPES
Oklahoma Other 731007150001 BLUE CROSS/BLUE SHIELD
Oklahoma MEDICAID 100116530A BLUE CROSS/BLUE SHIELD

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