Thompson, Latina
Thompson, Latina is an individual health care provider with primary practice located at 419 Moye Dr , Sandersville GA 31082-7624. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Thompson, Latina can be contacted via phone (478) 232-3186.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | Georgia |
Profile Details
| NPI number | 1386319853 |
|---|---|
| LBN Legal business name | Thompson, Latina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2021 |
| Last updated | Aug 16th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386319853 | NPPES |
| Georgia | MEDICAID | 87-2120294 |
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