Thompson, Scott Jake

Thompson, Scott Jake is an individual health care provider with primary practice located at 2751 2Nd Ave N Stop 9013 , Grand Forks ND 58202-9013. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Thompson, Scott Jake can be contacted via phone (701) 777-4845.

Contact Information

Primary practice address
2751 2Nd Ave N Stop 9013 Grand Forks ND 58202-9013
Phone: (701) 777-4845
Fax: (701) 777-2536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1477 North Dakota
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 1477 North Dakota

Profile Details

NPI number 1467462127
LBN Legal business name Thompson, Scott Jake
Credentials PT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 30th, 2017 - about 9 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 1467462127 NPPES
North Dakota Other 45-6002491 TAX-ID

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