Thompson, Mark Allen

Thompson, Mark Allen is an individual health care provider with primary practice located at 2555 Court Dr Suite 200, Gastonia NC 28054-2134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Thompson, Mark Allen can be contacted via phone (704) 867-2141.

Contact Information

Primary practice address
2555 Court Dr Suite 200 Gastonia NC 28054-2134
Phone: (704) 867-2141
Fax: (704) 867-2308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 200000150 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 200000150 North Carolina

Profile Details

NPI number 1386631760
LBN Legal business name Thompson, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 3rd, 2015 - about 9 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 1386631760 NPPES
North Carolina MEDICAID 8912523

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