Thompson, Melissa

Thompson, Melissa is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408-2773. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Thompson, Melissa can be contacted via phone (909) 388-9191.

Contact Information

Primary practice address
2080 S E St San Bernardino CA 92408-2773
Phone: (909) 388-9191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 29556 California

Profile Details

NPI number 1427502475
LBN Legal business name Thompson, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Aug 8th, 2016 - about 10 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 1427502475 NPPES
California MEDICAID 1760651178

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