Thompson, Edward Eugene
Thompson, Edward Eugene is an sole proprietor health care provider with primary practice located at 310 Marion Ave , Mccomb MS 39648-2708. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Thompson, Edward Eugene can be contacted via phone (601) 249-3254.Contact Information
Primary practice address
310 Marion Ave
Mccomb MS 39648-2708
Phone: (601) 249-3254
Fax: (601) 249-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A0025 | Mississippi |
Profile Details
| NPI number | 1518069012 |
|---|---|
| LBN Legal business name | Thompson, Edward Eugene |
| Credentials | M.S.CCCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518069012 | NPPES |
| Mississippi | MEDICAID | 00075016 |
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