Thomson, David K.R.

Thomson, David K.R. is an sole proprietor health care provider with primary practice located at 1250 Forest Ave , Portland ME 04103-1884. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thomson, David K.R. can be contacted via phone (207) 773-8711.

Contact Information

Primary practice address
1250 Forest Ave Portland ME 04103-1884
Phone: (207) 773-8711
Fax: (207) 773-7729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 012913 Maine

Profile Details

NPI number 1538148499
LBN Legal business name Thomson, David K.R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated May 17th, 2010 - about 16 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 1538148499 NPPES
Maine Other 001057 ANTHEM
Maine MEDICAID 121840000 ANTHEM

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