Thompson, Michael Glass
Thompson, Michael Glass is an individual health care provider with primary practice located at 189 Highway 192 W , London KY 40741-2428. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thompson, Michael Glass can be contacted via phone (859) 252-6500.Contact Information
Primary practice address
189 Highway 192 W
London KY 40741-2428
Phone: (859) 252-6500
Fax: (606) 877-5454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA796 | Kentucky |
Profile Details
| NPI number | 1932195963 |
|---|---|
| LBN Legal business name | Thompson, Michael Glass |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jun 4th, 2014 - about 12 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 | 1932195963 | NPPES |
| Kentucky | MEDICAID | 7100075660 |
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