Thomson, Gregory John

Thomson, Gregory John is an sole proprietor health care provider with primary practice located at 555 E Broadway Ave , Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Thomson, Gregory John can be contacted via phone (833) 437-4863.

Contact Information

Primary practice address
555 E Broadway Ave Jackson WY 83001-8640
Phone: (833) 437-4863
Fax: (949) 561-4107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X MEDS7811 Alaska
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 12812A Wyoming

Profile Details

NPI number 1992870471
LBN Legal business name Thomson, Gregory John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Dec 19th, 2020 - about 5 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 1992870471 NPPES
Oregon MEDICAID 262452
Oregon Other 158337
Oregon MEDICAID 1114511

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