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NPI Code Detail

MEDICARE: DR. NICHOLAS THOMPSON DO

MEDICARE: DR. NICHOLAS THOMPSON DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568106813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS THOMPSON DO
Provider Business Mailing Address
First Line : 6101 CENTER ST APT 101
Second Line :
City : MENTOR
State : OH
Zip : 44060-8654
Country : US
Telephone Number : 440-487-2002
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2022
Last Update Date : 04/22/2022

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Directions to “ DR. NICHOLAS THOMPSON DO” Practice Location

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