Ewing, Tom Wallace

Ewing, Tom Wallace is an individual health care provider with primary practice located at 1020 24Th Ave Nw Suite 100, Norman OK 73069-6341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ewing, Tom Wallace can be contacted via phone (405) 447-4999.

Contact Information

Primary practice address
1020 24Th Ave Nw Suite 100 Norman OK 73069-6341
Phone: (405) 447-4999
Fax: (405) 447-5608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 2243 Oklahoma
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X F0996 Texas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 5101007044 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X F0996 Texas

Profile Details

NPI number 1326086505
LBN Legal business name Ewing, Tom Wallace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 2nd, 2019 - about 5 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 1326086505 NPPES
Oklahoma MEDICAID 100228970D

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