Thompson, Michael Bartlett

Thompson, Michael Bartlett is an individual health care provider with primary practice located at 3535 30Th Ave 203, Kenosha WI 53144-1632. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Thompson, Michael Bartlett can be contacted via phone (262) 657-6104.

Contact Information

Primary practice address
3535 30Th Ave 203 Kenosha WI 53144-1632
Phone: (262) 657-6104
Fax: (262) 657-6194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 343 Wisconsin

Profile Details

NPI number 1346294097
LBN Legal business name Thompson, Michael Bartlett
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 5th, 2008 - about 18 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 1346294097 NPPES
Wisconsin Other 000046034 PTAN
Wisconsin MEDICAID 43208600 PTAN

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