Eric Nathan Thompson, D.C.

Individual provider Active NPI Chiropractor · Flemingsburg, KY

NPI 1972672780 · NPPES record last updated Mar 31, 2008

Key facts

NPI
1972672780
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
4609 (KY)
Practice address
146 Clark St
Flemingsburg, KY 41041-1207
Phone
(606) 845-0588
Fax
(606) 845-0599
NPI assigned
Nov 7, 2006
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4609 KY Yes

Addresses

Primary practice location

146 Clark St
Flemingsburg, KY 41041-1207

Mailing address

146 Clark St
Flemingsburg, KY 41041-1207
Phone (606) 845-0588

Other identifiers

IdentifierTypeStateIssuer
000000392107OtherKYANTHEM PIN NUMBER
85001832MedicaidKY

Other providers in Flemingsburg, KY

All providers in Flemingsburg, KY · Chiropractor in Kentucky

Sources for this page

Verify at the official NPI Registry.