Individual
MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 S 70TH STREET, LINCOLN, NE 68510
(402) 219-8747
Mailing address
8055 O STREET, SUITE 300, LINCOLN, NE 68510-2580
(402) 421-0904
(402) 421-0946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23094
BCBS
NE
Enumeration date
06/09/2006
Last updated
10/18/2010
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