Thompson, Jon C
Thompson, Jon C is an individual health care provider with primary practice located at 2001 W 86Th St Department Of Neuropsychology, 3 East, Indianapolis IN 46260-1902. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Thompson, Jon C can be contacted via phone (317) 338-3103.Contact Information
Primary practice address
2001 W 86Th St Department Of Neuropsychology, 3 East
Indianapolis IN 46260-1902
Phone: (317) 338-3103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 20041915A | Indiana |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 20041915A | Indiana |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20041915A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810003469 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041915A | Indiana |
Profile Details
| NPI number | 1386634814 |
|---|---|
| LBN Legal business name | Thompson, Jon C |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | May 16th, 2016 - about 9 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 | 1386634814 | NPPES |
| Indiana | MEDICAID | 200827580 |
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