Thompson, Gwyneth Smith

Thompson, Gwyneth Smith is an individual health care provider with primary practice located at 415 N 9Th St Suite 6W100, Springfield IL 62702-5303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Thompson, Gwyneth Smith can be contacted via phone (217) 545-5117.

Contact Information

Primary practice address
415 N 9Th St Suite 6W100 Springfield IL 62702-5303
Phone: (217) 545-5117
Fax: (217) 545-7958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 036113866 Illinois

Profile Details

NPI number 1215058490
LBN Legal business name Thompson, Gwyneth Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Dec 7th, 2020 - about 4 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 1215058490 NPPES
Illinois MEDICAID 036113866

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