Thompson, John Derek
Thompson, John Derek is an sole proprietor health care provider with primary practice located at 1400 N Us Highway 441 , The Villages FL 32159-8975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thompson, John Derek can be contacted via phone (352) 674-8700.Contact Information
Primary practice address
1400 N Us Highway 441
The Villages FL 32159-8975
Phone: (352) 674-8700
Fax: (352) 674-8714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME51022 | Florida |
Profile Details
| NPI number | 1578624342 |
|---|---|
| LBN Legal business name | Thompson, John Derek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 21st, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578624342 | NPPES |
| Florida | MEDICAID | 281069700 |
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