Thompson, Richard J

Thompson, Richard J is an sole proprietor health care provider with primary practice located at 1223 Gateway Dr Suite 2E, Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Thompson, Richard J can be contacted via phone (321) 312-3488.

Contact Information

Primary practice address
1223 Gateway Dr Suite 2E Melbourne FL 32901-2607
Phone: (321) 312-3488
Fax: (321) 956-2542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME129616 Florida

Profile Details

NPI number 1891780128
LBN Legal business name Thompson, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Mar 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891780128 NPPES
Florida MEDICAID 018685100
Florida Other IT846Z

Popular Providers