Hample, Michael Thomas

Hample, Michael Thomas is an individual health care provider with primary practice located at 11919 Central Ave Ne , Blaine MN 55434-3911. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hample, Michael Thomas can be contacted via phone (763) 757-1660.

Contact Information

Primary practice address
11919 Central Ave Ne Blaine MN 55434-3911
Phone: (763) 757-1660
Fax: (763) 757-4108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2654 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 761 Maine

Profile Details

NPI number 1982736609
LBN Legal business name Hample, Michael Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 9th, 2010 - about 14 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 1982736609 NPPES
Minnesota Other 231218 ACN
Minnesota Other 62396HA ACN
Minnesota MEDICAID 2732289-00 ACN

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