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Contact Information

BRENDA J THOMPSON, MEDICAL DOCTOR
1021 W 5TH AVE
GARY, IN46402-1703
 Phone: 219-880-1190
 Fax: 219-880-0784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRENDA J THOMPSON · (Female)

NPI # 1386658250
Status Active
Credentials MEDICAL DOCTOR
Entity Individual
Enumeration date 07/28/2006
Last updated 01/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036047737
  • IN License # 01028053
  • IN Medicaid 100167580A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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