Thompson, Gary L

Thompson, Gary L is an sole proprietor health care provider with primary practice located at 7734 S 8Th St , Kalamazoo MI 49009-9796. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thompson, Gary L can be contacted via phone (269) 372-9658.

Contact Information

Primary practice address
7734 S 8Th St Kalamazoo MI 49009-9796
Phone: (269) 372-9658
Fax: (269) 743-1000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401002666 Michigan

Profile Details

NPI number 1578591806
LBN Legal business name Thompson, Gary L
Credentials M.A., M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Nov 6th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578591806 NPPES
Michigan Other 047372 VALUEOPTIONS PROVIDER NUM
Michigan Other 71020000893826 VALUEOPTIONS PROVIDER NUM

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