Thompson, Harry Reed

Thompson, Harry Reed is an sole proprietor health care provider with primary practice located at 413 E University Ave , Champaign IL 61820-3826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Thompson, Harry Reed can be contacted via phone (217) 359-9601.

Contact Information

Primary practice address
413 E University Ave Champaign IL 61820-3826
Phone: (217) 359-9601
Fax: (217) 359-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036065943 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036065943 Illinois

Profile Details

NPI number 1083753214
LBN Legal business name Thompson, Harry Reed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Nov 17th, 2010 - about 16 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 1083753214 NPPES
Illinois Other 371189625 TAX ID MISC INSURANCES
Illinois Other 020032301 TAX ID MISC INSURANCES
Illinois Other 0001000344 TAX ID MISC INSURANCES
Illinois MEDICAID 036065943 TAX ID MISC INSURANCES
Illinois Other 3567913001 TAX ID MISC INSURANCES

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