Thompson, Thomas L

Thompson, Thomas L is an individual health care provider with primary practice located at 2005 Highland Ave , Eau Claire WI 54701-4455. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thompson, Thomas L can be contacted via phone (715) 832-5454.

Contact Information

Primary practice address
2005 Highland Ave Eau Claire WI 54701-4455
Phone: (715) 832-5454
Fax: (715) 832-2991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2951125 Wisconsin

Profile Details

NPI number 1912964271
LBN Legal business name Thompson, Thomas L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 6th, 2008 - about 16 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 1912964271 NPPES
Wisconsin MEDICAID 43567000
Wisconsin Other 637871027082
Wisconsin Other 64795
Wisconsin Other 6250366
Wisconsin Other 10F61TH
Wisconsin Other HP43528
Wisconsin Other 6250366
Wisconsin Other 6250366

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