Provider Demographics
NPI:1699896407
Name:THOMPSON, CHIARRA MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:CHIARRA
Middle Name:MICHELLE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3242 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5305
Mailing Address - Country:US
Mailing Address - Phone:513-349-7497
Mailing Address - Fax:
Practice Address - Street 1:3242 DANBURY RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5305
Practice Address - Country:US
Practice Address - Phone:513-349-7497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access