Thompson, Earl R

Thompson, Earl R is an individual health care provider with primary practice located at 3308 Samson Way , Bellevue NE 68123-3234. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thompson, Earl R can be contacted via phone (402) 291-3373.

Contact Information

Primary practice address
3308 Samson Way Bellevue NE 68123-3234
Phone: (402) 291-3373
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1084/001528 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1084/001528 Iowa

Profile Details

NPI number 1255338166
LBN Legal business name Thompson, Earl R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 13th, 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 1255338166 NPPES
Nebraska Other 90803 WELLMARK BCBS
Nebraska Other 38601 WELLMARK BCBS

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