Thompson, John Wayne
Thompson, John Wayne is an individual health care provider with primary practice located at 300 Carson St , Jonesboro AR 72401-3104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Thompson, John Wayne can be contacted via phone (870) 932-1198.Contact Information
Primary practice address
300 Carson St
Jonesboro AR 72401-3104
Phone: (870) 932-1198
Fax: (870) 910-7700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | E3939 | Arkansas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | E3939 | Arkansas |
Profile Details
| NPI number | 1871594663 |
|---|---|
| LBN Legal business name | Thompson, John Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | May 5th, 2017 - about 9 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 | 1871594663 | NPPES |
| Arkansas | MEDICAID | 152172001 | |
| Arkansas | MEDICAID | 3889968 |
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