Thompson, Teddy Leonard
Thompson, Teddy Leonard is an individual health care provider with primary practice located at 1526 Rose Street , La Crosse WI 54603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thompson, Teddy Leonard can be contacted via phone (608) 317-4644.Contact Information
Primary practice address
1526 Rose Street
La Crosse WI 54603
Phone: (608) 317-4644
Fax: (608) 783-5426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20493 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | WI20493 | Wisconsin |
Profile Details
| NPI number | 1083618722 |
|---|---|
| LBN Legal business name | Thompson, Teddy Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Oct 18th, 2018 - about 8 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 | 1083618722 | NPPES |
| Wisconsin | MEDICAID | 30561200 |
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