person
John Sirdre Thompson, STUDENT
Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia
NPI 1447966775

John Sirdre Thompson is a Student in an Organized Health Care Education/Training Program based in Charlottesville, VA. John Sirdre Thompson practices in Charlottesville, VA and has the professional credentials of STUDENT. The NPI Number for John Sirdre Thompson is 1447966775 and holds a License No. (Virginia).

The current practice location address for John Sirdre Thompson is 141 Ednam Dr # 104, Charlottesville, VA and can be reached out via phone at 910-691-1559.

Location: 141 Ednam Dr # 104, Charlottesville, VA, 22903-4629
person
Provider Profile Details
NPI Number
1447966775
Provider Name
John Sirdre Thompson
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
141 Ednam Dr # 104, Charlottesville, VA, 22903-4629
Phone Number
910-691-1559
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 STUDENT
institution
Provider Business Practice Location Address Details
Address
141 Ednam Dr # 104
City
State
Zip
22903-4629
Phone Number
910-691-1559
Fax Number
person
Provider Business Mailing Address Details
Address
141 Ednam Dr # 104
City
State
Zip
22903-4629
Phone Number
910-691-1559
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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