Ouellette, Thomas Lawrence

Ouellette, Thomas Lawrence is an individual health care provider with primary practice located at 2900 Main St , Buffalo NY 14214-1718. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Ouellette, Thomas Lawrence can be contacted via phone (716) 923-4375.

Contact Information

Primary practice address
2900 Main St Buffalo NY 14214-1718
Phone: (716) 923-4375
Fax: (716) 923-4379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X X009148-1 New York

Profile Details

NPI number 1699861120
LBN Legal business name Ouellette, Thomas Lawrence
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699861120 NPPES
New York Other C09148-0B WORKERS COMPENSATION

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