Thompson, Jacquelyn Kay
Thompson, Jacquelyn Kay is an sole proprietor health care provider with primary practice located at 1920 Orchard Ln , White Bear Lake MN 55110-5330. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Jacquelyn Kay can be contacted via phone (651) 338-8702.Contact Information
Primary practice address
1920 Orchard Ln
White Bear Lake MN 55110-5330
Phone: (651) 338-8702
Fax: (651) 777-3692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2495 | Minnesota |
Profile Details
| NPI number | 1124187935 |
|---|---|
| LBN Legal business name | Thompson, Jacquelyn Kay |
| Credentials | PHD. , LP., MSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1124187935 | NPPES |
| Minnesota | Other | 6466885300 | MN. HEALTHCARE PROGRAMS |
| Minnesota | Other | 6172268 | MN. HEALTHCARE PROGRAMS |
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