Thompson, Glen
Thompson, Glen is an sole proprietor health care provider with primary practice located at 138 Raven Dr , Berea KY 40403. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Thompson, Glen can be contacted via phone (859) 200-3356.Contact Information
Primary practice address
138 Raven Dr
Berea KY 40403
Phone: (859) 200-3356
Fax: (502) 451-9291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 2222 | Kentucky |
Profile Details
| NPI number | 1629299268 |
|---|---|
| LBN Legal business name | Thompson, Glen |
| Credentials | CSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 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 | 1629299268 | NPPES |
| Kentucky | Other | 000000493588 | ANTHEM |
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