Provider Demographics
NPI:1437244274
Name:BLSC THOMPSON GROUP INC
Entity Type:Organization
Organization Name:BLSC THOMPSON GROUP INC
Other - Org Name:THOMPSON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-383-5772
Mailing Address - Street 1:2410 2ND ST
Mailing Address - Street 2:P.O. BOX 2864
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-1265
Mailing Address - Country:US
Mailing Address - Phone:256-383-5772
Mailing Address - Fax:256-383-5773
Practice Address - Street 1:2410 2ND ST
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-1265
Practice Address - Country:US
Practice Address - Phone:256-383-5772
Practice Address - Fax:256-383-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL=========OtherTAX ID
ALU79397Medicare UPIN
AL=========OtherTAX ID