Thompson, Gary C
Thompson, Gary C is an individual health care provider with primary practice located at 109 Bridge St Ste 300 , Danville VA 24541-1222. 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, Gary C can be contacted via phone (434) 793-4711.Contact Information
Primary practice address
109 Bridge St Ste 300
Danville VA 24541-1222
Phone: (434) 793-4711
Fax: (434) 797-2514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110000067 | Virginia |
Profile Details
| NPI number | 1629018916 |
|---|---|
| LBN Legal business name | Thompson, Gary C |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 5th, 2018 - about 7 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 | 1629018916 | NPPES |
| Virginia | MEDICAID | 008954542 | |
| Virginia | Other | 970003213 |
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