Thompson, Charles D

Thompson, Charles D is an individual health care provider with primary practice located at 3601 4Th St Fl 3 , Lubbock TX 79430-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Thompson, Charles D can be contacted via phone (806) 743-2340.

Contact Information

Primary practice address
3601 4Th St Fl 3 Lubbock TX 79430-0002
Phone: (806) 743-2340
Fax: (806) 743-3121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X H6650 Texas

Profile Details

NPI number 1144219544
LBN Legal business name Thompson, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Mar 30th, 2021 - about 3 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 1144219544 NPPES
Texas Other 0027WA BLUE CROSS
Texas Other 2174020 BLUE CROSS
Texas MEDICAID 100177803 BLUE CROSS

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