Doctor Name: | MR. THOMPSON U EJIOFOR |
NPI Number: | 1063851905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 325 Erin Dr Niles, MI - 491201425 |
Business Phone Number: | 2696840632 |
Business Fax Number: | 2696840632 |
Mailing Address: | 325 Erin Dr, NILES |
State: | MI |
Postal Code: | 491201425 |
Phone Number: | 2696840632 |
Fax Number: | 2696840632 |
NPI Enumeration Date: | 06/24/2013 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |