Individual
DR. THOMAS LAWRENCE OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2900 MAIN ST, BUFFALO, NY 14214-1718
(716) 923-4375
(716) 923-4379
Mailing address
2900 MAIN ST, BUFFALO, NY 14214-1718
(716) 923-4375
(716) 923-4379
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X009148-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09148-0B
WORKERS COMPENSATION
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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