O'Daniel, Thomas G.

O'Daniel, Thomas G. is an sole proprietor health care provider with primary practice located at 222 S 1St St Suite 100, Louisville KY 40202-1350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. O'Daniel, Thomas G. can be contacted via phone (502) 584-1109.

Contact Information

Primary practice address
222 S 1St St Suite 100 Louisville KY 40202-1350
Phone: (502) 584-1109
Fax: (502) 589-6882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 24070 Kentucky

Profile Details

NPI number 1871585018
LBN Legal business name O'Daniel, Thomas G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Apr 4th, 2016 - about 9 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 1871585018 NPPES
Indiana MEDICAID 100033340A
Indiana Other 002
Indiana Other 1058697
Indiana Other 667357
Indiana Other KY0057799
Indiana Other KY1118
Indiana Other 000000219660
Indiana MEDICAID 64240708

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