Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25627 | WV |
Y | 208600000X | Surgeon | 25627 | WV |
N | 2086S0102X | Surgical Critical Care | 25627 | WV |
NPI | 1134194111 |
---|---|
Provider Name | Errington Thompson |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3657 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5900817 | (05) | NC |
E01748 | (02) |