Thompson, Charles

Thompson, Charles is an individual health care provider with primary practice located at 2364 Washington St , Newton MA 02462-1440. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thompson, Charles can be contacted via phone (617) 332-2047.

Contact Information

Primary practice address
2364 Washington St Newton MA 02462-1440
Fax: (617) 332-7341
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 106123 Massachusetts

Profile Details

NPI number 1841260460
LBN Legal business name Thompson, Charles
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 23rd, 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 1841260460 NPPES
Massachusetts Other P07427 BLUE CROSS BLUE SHIELD

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