Thompson, Mark Stanley
Thompson, Mark Stanley is an individual health care provider with primary practice located at 826 W King St , Owosso MI 48867-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thompson, Mark Stanley can be contacted via phone (517) 487-5585.Contact Information
Primary practice address
826 W King St
Owosso MI 48867-2120
Phone: (517) 487-5585
Fax: (517) 487-1129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301074209 | Michigan |
Profile Details
| NPI number | 1447304498 |
|---|---|
| LBN Legal business name | Thompson, Mark Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Feb 15th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447304498 | NPPES |
| Michigan | Other | 38 3694638 | TAX ID |
| Michigan | MEDICAID | 4625860 | TAX ID |
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