Thompson, T Jason

Thompson, T Jason is an individual health care provider with primary practice located at 1210 W 18Th St Ste G01, Sioux Falls SD 57104-4647. 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, T Jason can be contacted via phone (605) 328-2663.

Contact Information

Primary practice address
1210 W 18Th St Ste G01 Sioux Falls SD 57104-4647
Phone: (605) 328-2663
Fax: (605) 328-3760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 109464 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0721 South Dakota

Profile Details

NPI number 1073534889
LBN Legal business name Thompson, T Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 5th, 2009 - 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 1073534889 NPPES
Missouri Other 159639 ANTHEM
Missouri Other 970006660 ANTHEM
Missouri MEDICAID 100350750A ANTHEM

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