Thompson, Jeffrey D
Thompson, Jeffrey D is an individual health care provider with primary practice located at 18 Myrtle St Suite 102, Medford OR 97504-7471. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thompson, Jeffrey D can be contacted via phone (541) 779-2918.Contact Information
Primary practice address
18 Myrtle St Suite 102
Medford OR 97504-7471
Phone: (541) 779-2918
Fax: (541) 779-6149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD07147 | Oregon |
Profile Details
| NPI number | 1659356467 |
|---|---|
| LBN Legal business name | Thompson, Jeffrey D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Aug 9th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659356467 | NPPES |
| Oregon | MEDICAID | 203216 |
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