Thompson, David Charles
Thompson, David Charles is an individual health care provider with primary practice located at 1711 Shawano Ave , Green Bay WI 54303. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Thompson, David Charles can be contacted via phone (920) 494-9541.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4105 WI | Wisconsin |
Profile Details
| NPI number | 1306971098 |
|---|---|
| LBN Legal business name | Thompson, David Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306971098 | NPPES |
| Wisconsin | MEDICAID | 33703500 |
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