Healthcare Provider Details

I. General information

NPI: 1598021891
Provider Name (Legal Business Name): ESTHER ELICE LINS THOMPSON MSHS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 04/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BECKS WOODS DRIVE SUITE 100
BEAR DE
19701-3833
US

IV. Provider business mailing address

121 BECKS WOODS DRIVE SUITE 100
BEAR DE
19701-3833
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-8200
  • Fax:
Mailing address:
  • Phone: 302-836-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0000812
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: