Thompson, Charles Allen

Thompson, Charles Allen is an individual health care provider with primary practice located at 6550 Main Street Suite 1000, Zachary LA 70791-4079. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Thompson, Charles Allen can be contacted via phone (225) 654-1559.

Contact Information

Primary practice address
6550 Main Street Suite 1000 Zachary LA 70791-4079
Fax: (225) 654-6212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10749R Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 10749R Louisiana

Profile Details

NPI number 1528260072
LBN Legal business name Thompson, Charles Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Oct 19th, 2015 - about 11 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 1528260072 NPPES
Louisiana Other P00398472 RR MEDICARE
Louisiana MEDICAID 1666840 RR MEDICARE

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