Thompson, Jessica
Thompson, Jessica is an sole proprietor health care provider with primary practice located at 750 S Orange Blossom Trl Ste 104 , Orlando FL 32805-3154. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Thompson, Jessica can be contacted via phone (407) 371-1860.Contact Information
Primary practice address
750 S Orange Blossom Trl Ste 104
Orlando FL 32805-3154
Phone: (407) 371-1860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | COU-1085200 | Florida |
Profile Details
| NPI number | 1578204574 |
|---|---|
| LBN Legal business name | Thompson, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Apr 5th, 2022 - about 3 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 | 1578204574 | NPPES |
| Florida | MEDICAID | 85-4207888 |
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