Thompson, Craig S

Thompson, Craig S is an individual health care provider with primary practice located at 1040 Delaware Avenue , Marion OH 43301-1814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, Craig S can be contacted via phone (740) 383-7831.

Contact Information

Primary practice address
1040 Delaware Avenue Marion OH 43301-1814
Phone: (740) 383-7831
Fax: (740) 375-8137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.047688 Ohio

Profile Details

NPI number 1215995758
LBN Legal business name Thompson, Craig S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 2nd, 2018 - about 6 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 1215995758 NPPES
Other 311098079 TAX ID
Other 311098079 TAX ID
Other 353077 TAX ID
Other 311098079 TAX ID
Other 634340 TAX ID
MEDICAID 0492748 TAX ID
Other 311098079026 TAX ID
Other 0639721 TAX ID
Other 000000118411 TAX ID
Other 0400770 TAX ID
Other 110064315 TAX ID

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