Thompson, Donielle
Thompson, Donielle is an individual health care provider with primary practice located at 1735 Enterprise Dr Bldg 1Ste105A , Fairfield CA 94533-6822. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Thompson, Donielle can be contacted via phone (707) 425-1799.Contact Information
Primary practice address
1735 Enterprise Dr Bldg 1Ste105A
Fairfield CA 94533-6822
Phone: (707) 425-1799
Fax: (707) 425-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
| NPI number | 1750551289 |
|---|---|
| LBN Legal business name | Thompson, Donielle |
| Credentials | RASI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Mar 12th, 2008 - about 16 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 | 1750551289 | NPPES |
| California | Other | 1093925018 | DRUG MEDICAL |
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