Thompson, Tyler Joseph
Thompson, Tyler Joseph is an sole proprietor health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Thompson, Tyler Joseph can be contacted via phone (209) 547-5716.Contact Information
Primary practice address
1800 N California St
Stockton CA 95204-6019
Phone: (209) 547-5716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20A20365 | California |
Profile Details
| NPI number | 1770141004 |
|---|---|
| LBN Legal business name | Thompson, Tyler Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2019 |
| Last updated | Nov 28th, 2022 - about 3 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 | 1770141004 | NPPES |
| California | MEDICAID | 95171623G |
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