Thornburg, Courtney

Thornburg, Courtney is an individual health care provider with primary practice located at 3010 Childrens Way , San Diego CA 92123-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Thornburg, Courtney can be contacted via phone (858) 966-5811.

Contact Information

Primary practice address
3010 Childrens Way San Diego CA 92123-4223
Phone: (858) 966-5811
Fax: (858) 966-8035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2005-00360 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 2005-00360 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C 55985 California
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X C 55985 California

Profile Details

NPI number 1538222310
LBN Legal business name Thornburg, Courtney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 12th, 2014 - 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 1538222310 NPPES
North Carolina MEDICAID 5900803

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