Thayer, Michael A

Thayer, Michael A is an individual health care provider with primary practice located at 5501 N Portland Ave , Oklahoma City OK 73112-2074. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thayer, Michael A can be contacted via phone (405) 604-6000.

Contact Information

Primary practice address
5501 N Portland Ave Oklahoma City OK 73112-2074
Phone: (405) 604-6000
Fax: (918) 664-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1064 Oklahoma

Profile Details

NPI number 1558364422
LBN Legal business name Thayer, Michael A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 9th, 2009 - about 15 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 1558364422 NPPES
Oklahoma MEDICAID 100090360A

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