Thompson, Andrea H

Thompson, Andrea H is an individual health care provider with primary practice located at 745 S Progress Ave , Meridian ID 83642-5619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thompson, Andrea H can be contacted via phone (208) 884-2900.

Contact Information

Primary practice address
745 S Progress Ave Meridian ID 83642-5619
Phone: (208) 884-2900
Fax: (208) 884-2979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M5783 Idaho

Profile Details

NPI number 1275522203
LBN Legal business name Thompson, Andrea H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 19 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 1275522203 NPPES
Idaho Other 000010001385 BLUE SHIELD
Idaho Other 000010001387 BLUE SHIELD
Idaho Other 38752 BLUE SHIELD
Idaho Other 43067 BLUE SHIELD
Idaho Other 57380 BLUE SHIELD
Idaho Other 000010001386 BLUE SHIELD

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