Thompson, Sandra

Thompson, Sandra is an sole proprietor health care provider with primary practice located at 6161 Polaris Dr , Bastrop LA 71220-3476. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Thompson, Sandra can be contacted via phone (318) 282-4757.

Contact Information

Primary practice address
6161 Polaris Dr Bastrop LA 71220-3476
Phone: (318) 282-4757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X CLP-202351-LAB Louisiana

Profile Details

NPI number 1588336879
LBN Legal business name Thompson, Sandra
Credentials CLP-202351-LAB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 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 1588336879 NPPES
Louisiana MEDICAID 87-2920548

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