Thompson, Bryan T

Thompson, Bryan T is an individual health care provider with primary practice located at 1590 E Polston Ave Ste A, Post Falls ID 83854. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Thompson, Bryan T can be contacted via phone (208) 777-9794.

Contact Information

Primary practice address
1590 E Polston Ave Ste A Post Falls ID 83854
Phone: (208) 777-9794
Fax: (208) 777-9523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P-173 Idaho
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P173 Idaho

Profile Details

NPI number 1558361717
LBN Legal business name Thompson, Bryan T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 24th, 2014 - about 12 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 1558361717 NPPES
Idaho Other P9293 BLUE CROSS
Idaho MEDICAID 807068300 BLUE CROSS
Idaho Other I0007985456 BLUE CROSS
Idaho Other 000010149213 BLUE CROSS

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