Thompson, Ellen M
Thompson, Ellen M is an individual health care provider with primary practice located at 200 Center Street , Moriarty NM 87035-2000. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Thompson, Ellen M can be contacted via phone (505) 832-5817.Contact Information
Primary practice address
200 Center Street
Moriarty NM 87035-2000
Phone: (505) 832-5817
Fax: (505) 832-5918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1841412871 |
|---|---|
| LBN Legal business name | Thompson, Ellen M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841412871 | NPPES |
| New Mexico | MEDICAID | 000Z3311 |
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