Provider Demographics
NPI:1992555684
Name:THOMPSON LIGHT CONSTRUCTION
Entity type:Organization
Organization Name:THOMPSON LIGHT CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-371-0083
Mailing Address - Street 1:PO BOX 701
Mailing Address - Street 2:
Mailing Address - City:NEW MATAMORAS
Mailing Address - State:OH
Mailing Address - Zip Code:45767-0701
Mailing Address - Country:US
Mailing Address - Phone:740-371-0083
Mailing Address - Fax:
Practice Address - Street 1:706 2ND ST
Practice Address - Street 2:
Practice Address - City:NEW MATAMORAS
Practice Address - State:OH
Practice Address - Zip Code:45767-1159
Practice Address - Country:US
Practice Address - Phone:740-371-0083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty