Southern, Thomas E
Southern, Thomas E is an sole proprietor health care provider with primary practice located at 3520 Guion Rd Ste 301, Indianapolis IN 46222-1672. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Southern, Thomas E can be contacted via phone (317) 926-1356.Contact Information
Primary practice address
3520 Guion Rd Ste 301
Indianapolis IN 46222-1672
Phone: (317) 926-1356
Fax: (317) 926-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 01023497A | Indiana |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 01023497A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 01023497A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 01023497A | Indiana |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 01023497A | Indiana |
Profile Details
| NPI number | 1104996370 |
|---|---|
| LBN Legal business name | Southern, Thomas E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 19th, 2013 - about 12 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 | 1104996370 | NPPES |
| Indiana | Other | 000000762785 | BCBS |
| Indiana | MEDICAID | 100073340A | BCBS |
Popular Providers
-
Cacioppo, Jason R
1550 E County Line Rd Suite 320, Indianapolis IN 46227-1000 -
Spera, Leigh Jenna
720 Eskenazi Ave Fl 4 , Indianapolis IN 46202-5189 -
Jones, Christopher S
320 N Meridian St Suite 110, Indianapolis IN 46204-1719 -
Wagner, Jeffrey David
8040 Clearvista Pkwy Ste 520 , Indianapolis IN 46256-5604 -
Lester, Mary Elizabeth
1801 N Senate Blvd Mpc2 Ste 3550, Indianapolis IN 46202-5112 -
Gillespie, Jessica Nguyen
8051 S Emerson Ave Ste 450 , Indianapolis IN 46237-8667 -
Zollman, Charles Wallace
8227 Northwest Blvd Suite 290, Indianapolis IN 46278-1387 -
Fata, Joseph John
10293 N Meridian St Suite 200, Indianapolis IN 46290-1123