MEDICARE: MR. DON LEWIS THOMPSON DC

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
1	111N00000X	Chiropractor	CH00001817	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19317	OTHER		L AND I

General Provider Information

NPI Number	:	1417965419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DON LEWIS THOMPSON DC

Provider Business Mailing Address
First Line	:	909 W 13TH ST
Second Line	:	#2
City	:	BENTON CITY
State	:	WA
Zip	:	99320
Country	:	US
Telephone Number	:	509-588-6802
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 W 13TH ST
Second Line	:	#2
City	:	BENTON CITY
State	:	WA
Zip	:	99320
Country	:	US
Telephone Number	:	509-588-6802
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. DON LEWIS THOMPSON DC” Practice Location

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