Thompson, Laurance
Thompson, Laurance is an sole proprietor health care provider with primary practice located at 130 Fisher Rd Ste 1-6 , Berlin VT 05602-9000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thompson, Laurance can be contacted via phone (802) 272-5919.Contact Information
Primary practice address
130 Fisher Rd Ste 1-6
Berlin VT 05602-9000
Phone: (802) 272-5919
Fax: (802) 223-7444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 047-00062 | Vermont |
Profile Details
| NPI number | 1336259365 |
|---|---|
| LBN Legal business name | Thompson, Laurance |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336259365 | NPPES |
| Vermont | MEDICAID | 1010122 |
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