Provider Demographics
NPI:1790590594
Name:THOMPSON REAL ESTATE COMPANY, LLC
Entity type:Organization
Organization Name:THOMPSON REAL ESTATE COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:218-248-5534
Mailing Address - Street 1:24181 435TH ST
Mailing Address - Street 2:
Mailing Address - City:MCGREGOR
Mailing Address - State:MN
Mailing Address - Zip Code:55760-5698
Mailing Address - Country:US
Mailing Address - Phone:218-248-5534
Mailing Address - Fax:
Practice Address - Street 1:517 NW 4TH ST STE 113
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-2985
Practice Address - Country:US
Practice Address - Phone:218-966-0151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty