Wayne Thompson

Individual provider Active NPI Case Manager/Care Coordinator · Springfield, LA

NPI 1033720735 · NPPES record last updated Aug 14, 2020

Key facts

NPI
1033720735
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
31330 Highway 22 Ste 101
Springfield, LA 70462-7427
Phone
(225) 294-7227
NPI assigned
Aug 14, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

31330 Highway 22 Ste 101
Springfield, LA 70462-7427

Mailing address

31330 Highway 22 Ste 101
Springfield, LA 70462-7427
Phone (225) 294-7227

Other identifiers

IdentifierTypeStateIssuer
822362238MedicaidLA

Other providers in Springfield, LA

All providers in Springfield, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.