Thompson, Geffrey W

Thompson, Geffrey W is an sole proprietor health care provider with primary practice located at 1322 W Kathleen Ave , Coeur D Alene ID 83815-7365. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thompson, Geffrey W can be contacted via phone (208) 667-7461.

Contact Information

Primary practice address
1322 W Kathleen Ave Coeur D Alene ID 83815-7365
Fax: (208) 765-5753
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D1655 Idaho

Profile Details

NPI number 1366453565
LBN Legal business name Thompson, Geffrey W
Credentials D.M.D., PA.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 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 1366453565 NPPES
Idaho MEDICAID 0025332

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