Thompson, Jean G

Thompson, Jean G is an individual health care provider with primary practice located at 4118 Mccullough Ave Suite 16, San Antonio TX 78212-1979. She recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as her primary health care specialty. Thompson, Jean G can be contacted via phone (210) 223-3754.

Contact Information

Primary practice address
4118 Mccullough Ave Suite 16 San Antonio TX 78212-1979
Fax: (210) 223-1949
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1306859103
LBN Legal business name Thompson, Jean G
Credentials B.C.O
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306859103 NPPES
Texas Other 513442 BLUECROSS BLUESHIELD

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