Thompson, Peter
Thompson, Peter is an individual health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, Peter can be contacted via phone (541) 732-5545.Contact Information
Primary practice address
1111 Crater Lake Ave
Medford OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19883 | Oregon |
Profile Details
| NPI number | 1619938412 |
|---|---|
| LBN Legal business name | Thompson, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | May 12th, 2008 - 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 | 1619938412 | NPPES |
| Oregon | Other | 858464010 | BCBS-SPRINGFIELD |
| Oregon | Other | P00061232 | BCBS-SPRINGFIELD |
| Oregon | Other | R134117 | BCBS-SPRINGFIELD |
| Oregon | MEDICAID | 044797 | BCBS-SPRINGFIELD |
| Oregon | Other | 838334015 | BCBS-SPRINGFIELD |
| Oregon | MEDICAID | 210965 | BCBS-SPRINGFIELD |
| Oregon | Other | 8584463012 | BCBS-SPRINGFIELD |
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