Thornberry, Christa Marie

Thornberry, Christa Marie is an individual health care provider with primary practice located at 3013 Kensington Ave , Richmond VA 23221-2420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Thornberry, Christa Marie can be contacted via phone (314) 888-5233.

Contact Information

Primary practice address
3013 Kensington Ave Richmond VA 23221-2420
Phone: (314) 888-5233
Fax: (276) 835-4697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101 057666 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D85301 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D85301 Maryland

Profile Details

NPI number 1093798357
LBN Legal business name Thornberry, Christa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Apr 15th, 2024 - about 8 months 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 1093798357 NPPES
Virginia Other 136847 BLUE CROSS
Virginia MEDICAID 6737111 BLUE CROSS

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