Thompson, Yvette L

Thompson, Yvette L is an sole proprietor health care provider with primary practice located at 1166 Laurel Valley Dr , Orange Park FL 32065-2714. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Thompson, Yvette L can be contacted via phone (757) 377-0245.

Contact Information

Primary practice address
1166 Laurel Valley Dr Orange Park FL 32065-2714
Phone: (757) 377-0245
Fax: (904) 236-4616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 0103300929 Virginia

Profile Details

NPI number 1821029539
LBN Legal business name Thompson, Yvette L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jun 14th, 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 1821029539 NPPES
Virginia Other 141169 SENTARA
Virginia Other 306683 SENTARA

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