Thompson, Jennifer

Thompson, Jennifer is an individual health care provider with primary practice located at 1101 Lopez Rd Sw , Albuquerque NM 87105-3954. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Jennifer can be contacted via phone (505) 877-7060.

Contact Information

Primary practice address
1101 Lopez Rd Sw Albuquerque NM 87105-3954
Fax: (505) 877-7063
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-06432 New Mexico

Profile Details

NPI number 1245451947
LBN Legal business name Thompson, Jennifer
Credentials LMSW
Entity Individual
Sole proprietor 1 No
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245451947 NPPES
New Mexico MEDICAID NM600403

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