Thompson, Michael D.
Thompson, Michael D. is an individual health care provider with primary practice located at 6475 S Yale Ave Ste 200 , Tulsa OK 74136-7816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thompson, Michael D. can be contacted via phone (918) 494-4460.Contact Information
Primary practice address
6475 S Yale Ave Ste 200
Tulsa OK 74136-7816
Phone: (918) 494-4460
Fax: (918) 494-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2003020147 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1774 | Oklahoma |
Profile Details
| NPI number | 1679682447 |
|---|---|
| LBN Legal business name | Thompson, Michael D. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Oct 3rd, 2018 - about 7 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 | 1679682447 | NPPES |
| Oklahoma | MEDICAID | 200020890A |
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