Provider Demographics
NPI:1134805617
Name:THOMPSON, WILLIAM JAMES III (CCP-C)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JAMES
Last Name:THOMPSON
Suffix:III
Gender:M
Credentials:CCP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 N 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-2842
Mailing Address - Country:US
Mailing Address - Phone:815-814-6880
Mailing Address - Fax:
Practice Address - Street 1:549 E WILSON ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-1635
Practice Address - Country:US
Practice Address - Phone:414-264-2355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic