O'Donnell, John Thornton

O'Donnell, John Thornton is an individual health care provider with primary practice located at 11215 Metro Pkwy Ste 1 , Fort Myers FL 33966-1206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. O'Donnell, John Thornton can be contacted via phone (239) 208-2212.

Contact Information

Primary practice address
11215 Metro Pkwy Ste 1 Fort Myers FL 33966-1206
Phone: (239) 208-2212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 158850 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MA059107 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MA059107 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 158850 New York

Profile Details

NPI number 1205890282
LBN Legal business name O'Donnell, John Thornton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205890282 NPPES
New Jersey MEDICAID 6359205

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