Thompson, Vincent J

Thompson, Vincent J is an individual health care provider with primary practice located at 2020 Penrose Avenue Suite A1, Philadelphia PA 19145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thompson, Vincent J can be contacted via phone (267) 519-0518.

Contact Information

Primary practice address
2020 Penrose Avenue Suite A1 Philadelphia PA 19145
Phone: (267) 519-0518
Fax: (267) 886-9761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X XT4563777 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD426812 Pennsylvania

Profile Details

NPI number 1174526180
LBN Legal business name Thompson, Vincent J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 29th, 2018 - about 6 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 1174526180 NPPES
Other 223613YHRN MEDICARE PTAN

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