Doctor Name: | TERRY THOMPSON |
NPI Number: | 1013085182 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C-PED |
License Number: | 50079927 |
Business Practice Address: | 1115 Village Plz Columbiana, OH - 444088480 |
Business Phone Number: | 3304824005 |
Business Fax Number: | 3304823703 |
Mailing Address: | 1115 Village Plz, COLUMBIANA |
State: | OH |
Postal Code: | 444088480 |
Phone Number: | 3304824005 |
Fax Number: | 3304823703 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 50079927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |