Thompson, Ian St George
Thompson, Ian St George is an individual health care provider with primary practice located at 3209 S Broadway Ste 229 , Edmond OK 73013-4064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thompson, Ian St George can be contacted via phone (551) 295-8223.Contact Information
Primary practice address
3209 S Broadway Ste 229
Edmond OK 73013-4064
Phone: (551) 295-8223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19102 | Oklahoma |
Profile Details
| NPI number | 1184606873 |
|---|---|
| LBN Legal business name | Thompson, Ian St George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Sep 14th, 2025 - about last year |
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 | 1184606873 | NPPES |
| Oklahoma | MEDICAID | 100256700B |
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