MEDICARE: DR. ANDREW A 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	CH 4833	FL

General Provider Information

NPI Number	:	1619954716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW A THOMPSON DC

Provider Business Mailing Address
First Line	:	9536 SE MARICAMP RD
Second Line	:	#108
City	:	OCALA
State	:	FL
Zip	:	34472-2483
Country	:	US
Telephone Number	:	352-687-4111
Fax Number	:	352-687-4112

Provider Business Practice Location Address
First Line	:	9536 SE MARICAMP RD
Second Line	:	#108
City	:	OCALA
State	:	FL
Zip	:	34472-2483
Country	:	US
Telephone Number	:	352-687-4111
Fax Number	:	352-687-4112

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	07/08/2007

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