Thompson, Matthew J

Thompson, Matthew J is an individual health care provider with primary practice located at 1087 W Mason St #1, Green Bay WI 54303-1859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Thompson, Matthew J can be contacted via phone (920) 499-3102.

Contact Information

Primary practice address
1087 W Mason St #1 Green Bay WI 54303-1859
Phone: (920) 499-3102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036117608 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 53859-020 Wisconsin

Profile Details

NPI number 1659336733
LBN Legal business name Thompson, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 20th, 2021 - about 5 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 1659336733 NPPES
Illinois MEDICAID 036117608
Illinois Other P00404391
Illinois MEDICAID 1659336733

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