Thompson, David William
Thompson, David William is an sole proprietor health care provider with primary practice located at 197 W. Chestnut St., Ste 100 , Burlington WI 53105-1200. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Thompson, David William can be contacted via phone (262) 763-9191.Contact Information
Primary practice address
197 W. Chestnut St., Ste 100
Burlington WI 53105-1200
Phone: (262) 763-9191
Fax: (262) 763-7767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1588-057 | Wisconsin |
Profile Details
| NPI number | 1508896606 |
|---|---|
| LBN Legal business name | Thompson, David William |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508896606 | NPPES |
| Wisconsin | MEDICAID | 39090800 |
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