Howard, Thomas Craddock

Howard, Thomas Craddock is an individual health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114. 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 / Hand Surgery is his primary health care specialty. Howard, Thomas Craddock can be contacted via phone (405) 230-9412.

Contact Information

Primary practice address
9600 Broadway Ext Oklahoma City OK 73114
Fax: (405) 230-9157
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 10511 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10511 Oklahoma

Profile Details

NPI number 1033117312
LBN Legal business name Howard, Thomas Craddock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 9th, 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 1033117312 NPPES
Oklahoma Other 730714291-021 BCBS OF OKLAHOMA
Oklahoma MEDICAID 100141350A BCBS OF OKLAHOMA
Oklahoma Other 200015516 BCBS OF OKLAHOMA

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