Thompson, Terry Dean
Thompson, Terry Dean is an sole proprietor health care provider with primary practice located at 117 S Main St , Palestine IL 62451-1265. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Thompson, Terry Dean can be contacted via phone (618) 586-5454.Contact Information
Primary practice address
117 S Main St
Palestine IL 62451-1265
Phone: (618) 586-5454
Fax: (618) 586-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-004727 | Illinois |
| Chiropractic Providers / Sports Physician | 111NS0005X | 038.004727 | Illinois |
Profile Details
| NPI number | 1205804499 |
|---|---|
| LBN Legal business name | Thompson, Terry Dean |
| Credentials | D.C., C.C.S.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 10th, 2009 - about 15 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 | 1205804499 | NPPES |
| Illinois | MEDICAID | 038004727 | |
| Illinois | Other | 371140723 |
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