Thompson, Peter

Thompson, Peter is an individual health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, Peter can be contacted via phone (541) 732-5545.

Contact Information

Primary practice address
1111 Crater Lake Ave Medford OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD19883 Oregon

Profile Details

NPI number 1619938412
LBN Legal business name Thompson, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 12th, 2008 - about 17 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 1619938412 NPPES
Oregon Other 858464010 BCBS-SPRINGFIELD
Oregon Other P00061232 BCBS-SPRINGFIELD
Oregon Other R134117 BCBS-SPRINGFIELD
Oregon MEDICAID 044797 BCBS-SPRINGFIELD
Oregon Other 838334015 BCBS-SPRINGFIELD
Oregon MEDICAID 210965 BCBS-SPRINGFIELD
Oregon Other 8584463012 BCBS-SPRINGFIELD

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