Thompson, David Shannon
Thompson, David Shannon is an sole proprietor health care provider with primary practice located at 3501 Altama Ave , Brunswick GA 31520-3629. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Thompson, David Shannon can be contacted via phone (912) 261-8117.Contact Information
Primary practice address
3501 Altama Ave
Brunswick GA 31520-3629
Phone: (912) 261-8117
Fax: (912) 261-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | 01521 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | 01521 | Georgia |
Profile Details
| NPI number | 1518964220 |
|---|---|
| LBN Legal business name | Thompson, David Shannon |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 7th, 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 | 1518964220 | NPPES |
| Georgia | MEDICAID | 00742871A |
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