Thompson, Craig R

Thompson, Craig R is an individual health care provider with primary practice located at 180 Kennedy Memorial Dr Suite 304, Waterville ME 04901-4540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thompson, Craig R can be contacted via phone (207) 861-7874.

Contact Information

Primary practice address
180 Kennedy Memorial Dr Suite 304 Waterville ME 04901-4540
Phone: (207) 861-7874
Fax: (207) 861-4646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22520 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 018638 Maine

Profile Details

NPI number 1457356594
LBN Legal business name Thompson, Craig R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 3rd, 2016 - about 8 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 1457356594 NPPES
Louisiana MEDICAID 1486108

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