Thompson, Shannon L

Thompson, Shannon L is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 3038C, Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, which is considered as her primary health care specialty. Thompson, Shannon L can be contacted via phone (317) 274-2617.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 3038C Indianapolis IN 46202-5109
Phone: (317) 274-2617
Fax: (317) 274-2587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 01056261 Indiana

Profile Details

NPI number 1851375760
LBN Legal business name Thompson, Shannon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Nov 19th, 2020 - 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 1851375760 NPPES
Indiana MEDICAID 200383000

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