Individual
DR. JAKE R CARPENTER-THOMPSON
Active
Individual
DR. JAKE R CARPENTER-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072003
IL
2084N0400X
Neurology Physician
125.072003
IL
2084N0400X
Neurology Physician
Primary
4301505166
MI
2084P0800X
Psychiatry Physician
4301505166
MI
Other
Enumeration date
06/23/2018
Last updated
09/18/2025
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