Thompson, John Travis
Thompson, John Travis is an individual health care provider with primary practice located at 21660 W Field Pkwy Suite 220, Deer Park IL 60010-7265. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Thompson, John Travis can be contacted via phone (847) 381-0106.Contact Information
Primary practice address
21660 W Field Pkwy Suite 220
Deer Park IL 60010-7265
Phone: (847) 381-0106
Fax: (847) 381-0265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 19024612 | Illinois |
Profile Details
| NPI number | 1558324459 |
|---|---|
| LBN Legal business name | Thompson, John Travis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 24th, 2012 - about 14 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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