Thompson, Michael
Thompson, Michael is an individual health care provider with primary practice located at 600 E Genesee St Suite 217, Syracuse NY 13202-3130. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thompson, Michael can be contacted via phone (315) 422-0300.Contact Information
Primary practice address
600 E Genesee St Suite 217
Syracuse NY 13202-3130
Phone: (315) 422-0300
Fax: (315) 479-8455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 007137 | New York |
Profile Details
NPI number | 1679620785 |
---|---|
LBN Legal business name | Thompson, Michael |
Credentials | PH D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2007 |
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 | 1679620785 | NPPES |
New York | MEDICAID | 00710930 |
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