Thompson, Bruce Michael
Thompson, Bruce Michael is an individual health care provider with primary practice located at 2903 1St Ave , Lake Charles LA 70601-8809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Thompson, Bruce Michael can be contacted via phone (337) 478-6480.Contact Information
Primary practice address
2903 1St Ave
Lake Charles LA 70601-8809
Phone: (337) 478-6480
Fax: (337) 474-9637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 014802 | Louisiana |
Profile Details
| NPI number | 1528059235 |
|---|---|
| LBN Legal business name | Thompson, Bruce Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528059235 | NPPES |
| Louisiana | MEDICAID | 1314277 |
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