Thompson, Joel R

Thompson, Joel R is an individual health care provider with primary practice located at 945 82Nd Pkwy Ste 3, Myrtle Beach SC 29572-4610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Thompson, Joel R can be contacted via phone (843) 449-3381.

Contact Information

Primary practice address
945 82Nd Pkwy Ste 3 Myrtle Beach SC 29572-4610
Fax: (843) 839-0275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 9102 South Carolina

Profile Details

NPI number 1861489064
LBN Legal business name Thompson, Joel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 9th, 2010 - about 15 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 1861489064 NPPES
South Carolina MEDICAID 091028

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