Thompson, Carson Joseph

Thompson, Carson Joseph is an individual health care provider with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Thompson, Carson Joseph can be contacted via phone (570) 808-6026.

Contact Information

Primary practice address
1000 E Mountain Dr Wilkes Barre PA 18711-0027
Phone: (570) 808-6026
Fax: (570) 271-6578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD019602E Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 238733-1 New York

Profile Details

NPI number 1780650390
LBN Legal business name Thompson, Carson Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 18th, 2012 - 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 1780650390 NPPES
Pennsylvania MEDICAID 0008602180004
Pennsylvania Other CC9269
Pennsylvania Other GU039843
Pennsylvania Other P00260894
Pennsylvania MEDICAID 02672833

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