Thompson, Mary Michelle
Thompson, Mary Michelle is an sole proprietor health care provider with primary practice located at 4116 Arkwright Rd Suite 2, Macon GA 31210-1707. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Thompson, Mary Michelle can be contacted via phone (478) 477-0601.Contact Information
Primary practice address
4116 Arkwright Rd Suite 2
Macon GA 31210-1707
Phone: (478) 477-0601
Fax: (973) 965-4580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006626 | Georgia |
Profile Details
| NPI number | 1629120969 |
|---|---|
| LBN Legal business name | Thompson, Mary Michelle |
| Credentials | SPEECH THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jun 4th, 2009 - about 16 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 | 1629120969 | NPPES |
| Georgia | MEDICAID | 487932448C | |
| Georgia | MEDICAID | 487932448A | |
| Georgia | MEDICAID | 487932448B |
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