Thornberg, Teresa Ann

Thornberg, Teresa Ann is an individual health care provider with primary practice located at 1130 N Forest St , Bellingham WA 98225-5120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Thornberg, Teresa Ann can be contacted via phone (360) 647-7750.

Contact Information

Primary practice address
1130 N Forest St Bellingham WA 98225-5120
Phone: (360) 647-7750
Fax: (360) 647-4290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00032029 Washington

Profile Details

NPI number 1417930728
LBN Legal business name Thornberg, Teresa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Sep 16th, 2015 - about 10 years ago

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 1417930728 NPPES
Washington MEDICAID 8159535

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