Thompson, David Duvall

Thompson, David Duvall is an individual health care provider with primary practice located at 22 W Main St , Niantic CT 06357-2340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, David Duvall can be contacted via phone (860) 739-4431.

Contact Information

Primary practice address
22 W Main St Niantic CT 06357-2340
Phone: (860) 739-4431
Fax: (860) 739-9461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20184 Connecticut

Profile Details

NPI number 1477546455
LBN Legal business name Thompson, David Duvall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Mar 6th, 2008 - about 18 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 1477546455 NPPES
Connecticut Other 030016 HEALTHNET
Connecticut MEDICAID 1201847 HEALTHNET
Connecticut Other 010020184CT01 HEALTHNET

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