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NPI Code Detail

MEDICARE: DR. BEVERLY ANN THOMPSON D.C; Q.M.E.

MEDICARE: DR. BEVERLY ANN THOMPSON D.C; Q.M.E.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC25281CA

General Provider Information

NPI Number : 1821258377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEVERLY ANN THOMPSON D.C; Q.M.E.
Provider Business Mailing Address
First Line : 1911 N LAKE AVE
Second Line :
City : ALTADENA
State : CA
Zip : 91001-3037
Country : US
Telephone Number : 626-797-2323
Fax Number :
Provider Business Practice Location Address
First Line : 1911 N LAKE AVE
Second Line :
City : ALTADENA
State : CA
Zip : 91001-3037
Country : US
Telephone Number : 626-797-2323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 06/09/2008

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