Thompson, Nacole
Thompson, Nacole is an individual health care provider with primary practice located at 9176 Dover St , Lithia Springs GA 30122-3813. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Thompson, Nacole can be contacted via phone (678) 993-9237.Contact Information
Primary practice address
9176 Dover St
Lithia Springs GA 30122-3813
Phone: (678) 993-9237
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1376183996 |
---|---|
LBN Legal business name | Thompson, Nacole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2020 |
Last updated | Jan 11th, 2020 - about 4 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 | 1376183996 | NPPES |
Georgia | MEDICAID | 987654321 |
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