Maibenco, Thomas A
Maibenco, Thomas A is an individual health care provider with primary practice located at 1500 E Downing St Ste 101 , Tahlequah OK 74464-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Maibenco, Thomas A can be contacted via phone (918) 453-1234.Contact Information
Primary practice address
1500 E Downing St Ste 101
Tahlequah OK 74464-3354
Phone: (918) 453-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 336078668 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 35295 | Oklahoma |
Profile Details
| NPI number | 1639211386 |
|---|---|
| LBN Legal business name | Maibenco, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Mar 10th, 2020 - 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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