Thompson, Jennifer E

Thompson, Jennifer E is an individual health care provider with primary practice located at 10628 Park Rd , Charlotte NC 28210-8407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Thompson, Jennifer E can be contacted via phone (330) 493-4443.

Contact Information

Primary practice address
10628 Park Rd Charlotte NC 28210-8407
Phone: (330) 493-4443
Fax: (330) 451-4032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 200200360 North Carolina

Profile Details

NPI number 1437139391
LBN Legal business name Thompson, Jennifer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 9th, 2010 - about 14 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 1437139391 NPPES
South Carolina MEDICAID N00362
South Carolina MEDICAID 89134TU

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