Thomas, Rupert Rockwell

Thomas, Rupert Rockwell is an sole proprietor health care provider with primary practice located at 1616 S Kelly Ave , Edmond OK 73013-3651. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Thomas, Rupert Rockwell can be contacted via phone (405) 736-0089.

Contact Information

Primary practice address
1616 S Kelly Ave Edmond OK 73013-3651
Phone: (405) 736-0089
Fax: (405) 216-3454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 12932 Oklahoma
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12932 Oklahoma

Profile Details

NPI number 1578539029
LBN Legal business name Thomas, Rupert Rockwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Sep 16th, 2021 - about 4 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 1578539029 NPPES
Oklahoma MEDICAID 100005830A

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