Scully, Thomas

Scully, Thomas is an individual health care provider with primary practice located at 450 N New Ballas Rd Suite 150N, Saint Louis MO 63141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Scully, Thomas can be contacted via phone (314) 315-9914.

Contact Information

Primary practice address
450 N New Ballas Rd Suite 150N Saint Louis MO 63141
Phone: (314) 315-9914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R9882 Missouri

Profile Details

NPI number 1285692608
LBN Legal business name Scully, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 23rd, 2018 - about 6 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 1285692608 NPPES
Missouri Other P00195684 PALMETTO RR MEDICARE

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