Individual
DR. ELLEN A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1249 15TH ST, SUITE 4000, HUNTINGTON, WV 25701
(304) 691-8500
(304) 691-8510
Mailing address
1249 15TH ST, SUITE 4000, HUNTINGTON, WV 25701
(304) 691-8500
(304) 691-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19720
WV
207RC0000X
Cardiovascular Disease Physician
Primary
19720
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1808499000
—
WV
05
—
2334950
—
OH
05
—
64052749
—
KY
Enumeration date
03/23/2006
Last updated
11/22/2021
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