Thompson, Destiny Breann

Thompson, Destiny Breann is an individual health care provider with primary practice located at 347 Midway Blvd Ste 210 , Elyria OH 44035-2496. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Thompson, Destiny Breann can be contacted via phone (440) 324-5555.

Contact Information

Primary practice address
347 Midway Blvd Ste 210 Elyria OH 44035-2496
Phone: (440) 324-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1629662432
LBN Legal business name Thompson, Destiny Breann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2021
Last updated Mar 17th, 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.

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