Provider Demographics
NPI:1649642232
Name:ERIC J. THOMPSON D.C. P.A.
Entity type:Organization
Organization Name:ERIC J. THOMPSON D.C. P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/C.E.O
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-735-4055
Mailing Address - Street 1:15301 W 87TH ST
Mailing Address - Street 2:SUITE B20
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1401
Mailing Address - Country:US
Mailing Address - Phone:913-735-4055
Mailing Address - Fax:877-546-3659
Practice Address - Street 1:15301 W 87TH ST
Practice Address - Street 2:SUITE B20
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1401
Practice Address - Country:US
Practice Address - Phone:913-735-4055
Practice Address - Fax:877-546-3659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty