Mcconnell, Thomason Michael
Mcconnell, Thomason Michael is an sole proprietor health care provider with primary practice located at 1200 W 4Th St Suite A, Tahlequah OK 74464-5013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcconnell, Thomason Michael can be contacted via phone (918) 458-9100.Contact Information
Primary practice address
1200 W 4Th St Suite A
Tahlequah OK 74464-5013
Phone: (918) 458-9100
Fax: (918) 458-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5267 | Oklahoma |
Profile Details
| NPI number | 1124049119 |
|---|---|
| LBN Legal business name | Mcconnell, Thomason Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124049119 | NPPES |
| Virginia | Other | 214781 | BC/BS OF VIRGINIA |
| Virginia | Other | 814714 | BC/BS OF VIRGINIA |
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