Thompson, Evaline Jane

Thompson, Evaline Jane is an individual health care provider with primary practice located at 6010 W Amarillo Blvd , Amarillo TX 79106-1990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Thompson, Evaline Jane can be contacted via phone (806) 354-7867.

Contact Information

Primary practice address
6010 W Amarillo Blvd Amarillo TX 79106-1990
Phone: (806) 354-7867
Fax: (806) 354-7865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H1850 Texas

Profile Details

NPI number 1770679847
LBN Legal business name Thompson, Evaline Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770679847 NPPES
Other 83114V BLUE CROSS BLUE SHIELD #

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