Thompson, Gregory M.

Thompson, Gregory M. is an individual health care provider with primary practice located at 255 W Lancaster Ave Pmob Iii, Suite 333, Paoli PA 19301-1763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thompson, Gregory M. can be contacted via phone (610) 644-9600.

Contact Information

Primary practice address
255 W Lancaster Ave Pmob Iii, Suite 333 Paoli PA 19301-1763
Phone: (610) 644-9600
Fax: (610) 644-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD04339E Pennsylvania

Profile Details

NPI number 1063410702
LBN Legal business name Thompson, Gregory M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 5th, 2020 - about 5 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 1063410702 NPPES
Pennsylvania Other 557113 HIGHMARK BS
Pennsylvania Other 03752592000 HIGHMARK BS
Pennsylvania MEDICAID 0011574150003 HIGHMARK BS

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