Scully, Thomas B
Scully, Thomas B is an individual health care provider with primary practice located at 5860 N La Cholla Blvd #100, Tucson AZ 85741-3596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Scully, Thomas B can be contacted via phone (520) 742-7890.Contact Information
Primary practice address
5860 N La Cholla Blvd #100
Tucson AZ 85741-3596
Phone: (520) 742-7890
Fax: (520) 742-7894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 22300 | Arizona |
Profile Details
| NPI number | 1659366300 |
|---|---|
| LBN Legal business name | Scully, Thomas B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Sep 25th, 2023 - about 2 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 | 1659366300 | NPPES |
| Arizona | MEDICAID | 164377 |
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