Thompson, Larry W

Thompson, Larry W is an individual health care provider with primary practice located at 100 Peach St Suite 300, Erie PA 16507-1423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Thompson, Larry W can be contacted via phone (814) 459-1851.

Contact Information

Primary practice address
100 Peach St Suite 300 Erie PA 16507-1423
Fax: (814) 452-0026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD063706L Pennsylvania

Profile Details

NPI number 1497709729
LBN Legal business name Thompson, Larry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 21st, 2023 - about 2 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 1497709729 NPPES
Pennsylvania Other 1590926 HIGHMARK BC/BS
Pennsylvania MEDICAID 1009353940001 HIGHMARK BC/BS
Pennsylvania Other P00156458 HIGHMARK BC/BS

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