Thompson, Leif
Thompson, Leif is an individual health care provider with primary practice located at 1408 19Th Ave , Fairbanks AK 99701-5903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thompson, Leif can be contacted via phone (907) 451-6682.Contact Information
Primary practice address
1408 19Th Ave
Fairbanks AK 99701-5903
Phone: (907) 451-6682
Fax: (907) 459-3811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4935 | Alaska |
Profile Details
| NPI number | 1780667105 |
|---|---|
| LBN Legal business name | Thompson, Leif |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Dec 30th, 2014 - about 10 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 | 1780667105 | NPPES |
| Alaska | MEDICAID | 1014545 |
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