Thompson, Michelle Marie

Thompson, Michelle Marie is an sole proprietor health care provider with primary practice located at 1901 S Congress Ave Ste 420 , Boynton Beach FL 33426-6588. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Thompson, Michelle Marie can be contacted via phone (561) 336-8180.

Contact Information

Primary practice address
1901 S Congress Ave Ste 420 Boynton Beach FL 33426-6588
Phone: (561) 336-8180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 212150-1 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME110035 Florida

Profile Details

NPI number 1912085325
LBN Legal business name Thompson, Michelle Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jan 14th, 2019 - about 5 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 1912085325 NPPES
New York MEDICAID 150013900

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