Thompson, Keith S

Thompson, Keith S is an individual health care provider with primary practice located at 4800 W 25Th St , Greeley CO 80634-3734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, Keith S can be contacted via phone (970) 330-6400.

Contact Information

Primary practice address
4800 W 25Th St Greeley CO 80634-3734
Phone: (970) 330-6400
Fax: (706) 270-0487
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32596 Colorado

Profile Details

NPI number 1861470478
LBN Legal business name Thompson, Keith S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 18th, 2020 - about 4 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 1861470478 NPPES
Colorado Other P00944807 MEDICARE RAILROAD CARRIER PTAN
Colorado MEDICAID 01325968 MEDICARE RAILROAD CARRIER PTAN

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