Heyne-Thompson, Pamela J

Heyne-Thompson, Pamela J is an sole proprietor health care provider with primary practice located at 1231 N State Road 39 , La Porte IN 46350-2042. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Heyne-Thompson, Pamela J can be contacted via phone (219) 326-7681.

Contact Information

Primary practice address
1231 N State Road 39 La Porte IN 46350-2042
Fax: (219) 326-7681
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002633 Indiana

Profile Details

NPI number 1033178900
LBN Legal business name Heyne-Thompson, Pamela J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Dec 17th, 2008 - 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 1033178900 NPPES
Indiana Other 247510A PTAN

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