Thompson, Sandra A

Thompson, Sandra A is an sole proprietor health care provider with primary practice located at 633 N 4Th St , Boise ID 83702-4510. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Thompson, Sandra A can be contacted via phone (208) 342-9800.

Contact Information

Primary practice address
633 N 4Th St Boise ID 83702-4510
Phone: (208) 342-9800
Fax: (208) 342-4223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M5883 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M5883 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G156943 California

Profile Details

NPI number 1326085713
LBN Legal business name Thompson, Sandra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Feb 11th, 2022 - about 2 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 1326085713 NPPES
Idaho MEDICAID 004277900

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