Thompson, Terry W
Thompson, Terry W is an sole proprietor health care provider with primary practice located at 907 Avenue F Sw , Childress TX 79201-6121. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Thompson, Terry W can be contacted via phone (703) 651-6019.Contact Information
Primary practice address
907 Avenue F Sw
Childress TX 79201-6121
Phone: (703) 651-6019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 41843981 | Texas |
Profile Details
| NPI number | 1790368561 |
|---|---|
| LBN Legal business name | Thompson, Terry W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2021 |
| Last updated | Apr 29th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790368561 | NPPES |
| Texas | MEDICAID | 86-1703082 |
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