Thom, Matthew Robert

Thom, Matthew Robert is an individual health care provider with primary practice located at 701 University Blvd E Suite 908, Tuscaloosa AL 35401-2086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thom, Matthew Robert can be contacted via phone (205) 344-9393.

Contact Information

Primary practice address
701 University Blvd E Suite 908 Tuscaloosa AL 35401-2086
Phone: (205) 344-9393
Fax: (205) 759-7744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 30929 Alabama

Profile Details

NPI number 1942234414
LBN Legal business name Thom, Matthew Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 22nd, 2011 - about 13 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 1942234414 NPPES
Alabama Other 102I346537 MEDICARE
Alabama MEDICAID 129502 MEDICARE

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