Thompson, Ian Abban
Thompson, Ian Abban is an individual health care provider with primary practice located at 4411 The 25 Way Ne Ste 325 , Albuquerque NM 87109-5853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Thompson, Ian Abban can be contacted via phone (505) 823-4411.Contact Information
Primary practice address
4411 The 25 Way Ne Ste 325
Albuquerque NM 87109-5853
Phone: (505) 823-4411
Fax: (505) 343-6085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2021-0639 | New Mexico |
Profile Details
| NPI number | 1154769958 |
|---|---|
| LBN Legal business name | Thompson, Ian Abban |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2013 |
| Last updated | Feb 14th, 2023 - about 2 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 | 1154769958 | NPPES |
| Arizona | MEDICAID | 147790 | |
| Arizona | MEDICAID | 54721351 |
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