Thompson, Lacey
Thompson, Lacey is an individual health care provider with primary practice located at 110 West Broadway Suite 202, Williston ND 58801. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Thompson, Lacey can be contacted via phone (701) 774-6300.Contact Information
Primary practice address
110 West Broadway Suite 202
Williston ND 58801
Phone: (701) 774-6300
Fax: (701) 572-9794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 4689 | North Dakota |
Profile Details
| NPI number | 1730509084 |
|---|---|
| LBN Legal business name | Thompson, Lacey |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2014 |
| Last updated | Apr 24th, 2014 - about 11 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 | 1730509084 | NPPES |
| North Dakota | MEDICAID | 50763 |
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