Thompson, James L

Thompson, James L is an individual health care provider with primary practice located at 12716 Ne 36Th St , Spencer OK 73084-9167. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thompson, James L can be contacted via phone (405) 769-3301.

Contact Information

Primary practice address
12716 Ne 36Th St Spencer OK 73084-9167
Fax: (405) 769-9685
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0525 Oklahoma

Profile Details

NPI number 1285062166
LBN Legal business name Thompson, James L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2013
Last updated Oct 31st, 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 1285062166 NPPES
Oklahoma MEDICAID 730930123

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