Tarter, Thomas H

Tarter, Thomas H is an individual health care provider with primary practice located at 210 W Mckinley Ave Ste 1 , Decatur IL 62526-5858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Tarter, Thomas H can be contacted via phone (217) 876-6600.

Contact Information

Primary practice address
210 W Mckinley Ave Ste 1 Decatur IL 62526-5858
Fax: (217) 876-6606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036092911 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036092911 Illinois

Profile Details

NPI number 1114913225
LBN Legal business name Tarter, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 29th, 2015 - 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 1114913225 NPPES
Illinois MEDICAID 036092911

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