Thompson, David E
Thompson, David E is an individual health care provider with primary practice located at 40 Baldwin Ave , Lugoff SC 29078-9406. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Thompson, David E can be contacted via phone (803) 408-3262.Contact Information
Primary practice address
40 Baldwin Ave
Lugoff SC 29078-9406
Phone: (803) 408-3262
Fax: (803) 408-8895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3636 | South Carolina |
Profile Details
| NPI number | 1619121290 |
|---|---|
| LBN Legal business name | Thompson, David E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2008 |
| Last updated | Apr 29th, 2013 - about 13 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 | 1619121290 | NPPES |
| South Carolina | MEDICAID | NP1748 |
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