Thompson, Chad Mortensen
Thompson, Chad Mortensen is an sole proprietor health care provider with primary practice located at 112 Seco Dr , Portland TX 78374-1458. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thompson, Chad Mortensen can be contacted via phone (361) 563-6213.Contact Information
Primary practice address
112 Seco Dr
Portland TX 78374-1458
Phone: (361) 563-6213
Fax: (361) 853-4084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3200 | Idaho |
| Dental Providers / General Practice | 1223G0001X | 25211 | Texas |
Profile Details
| NPI number | 1376600155 |
|---|---|
| LBN Legal business name | Thompson, Chad Mortensen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 15th, 2015 - about 9 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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