Thompson, Jill Ellen

Thompson, Jill Ellen is an sole proprietor health care provider with primary practice located at 1846 E Franklin Blvd , Gastonia NC 28054-4700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Thompson, Jill Ellen can be contacted via phone (704) 853-3023.

Contact Information

Primary practice address
1846 E Franklin Blvd Gastonia NC 28054-4700
Phone: (704) 853-3023
Fax: (704) 853-3024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 9300608 North Carolina
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 9300608 North Carolina

Profile Details

NPI number 1518940790
LBN Legal business name Thompson, Jill Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Apr 20th, 2020 - about 6 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 1518940790 NPPES
South Carolina MEDICAID N0060A
South Carolina MEDICAID 8983308

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