Thompson, Chad Campbell
Thompson, Chad Campbell is an individual health care provider with primary practice located at 1700 Cerrillos Rd , Santa Fe NM 87505-3554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thompson, Chad Campbell can be contacted via phone (505) 946-9274.Contact Information
Primary practice address
1700 Cerrillos Rd
Santa Fe NM 87505-3554
Phone: (505) 946-9274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD071958L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45857 | Colorado |
Profile Details
| NPI number | 1538158217 |
|---|---|
| LBN Legal business name | Thompson, Chad Campbell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Sep 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538158217 | NPPES |
| New Mexico | MEDICAID | 96927861 | |
| New Mexico | MEDICAID | 79281222 | |
| New Mexico | MEDICAID | 618366 |
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