Thornley, Tish A
Thornley, Tish A is an individual health care provider with primary practice located at 221 Washington Street , Gloucester MA 01930-2642. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Thornley, Tish A can be contacted via phone (978) 281-5225.Contact Information
Primary practice address
221 Washington Street
Gloucester MA 01930-2642
Phone: (978) 281-5225
Fax: (978) 281-8789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1396 | Massachusetts |
| Chiropractic Providers / Chiropractor | 111N00000X | ME252767 | Maine |
Profile Details
| NPI number | 1093896532 |
|---|---|
| LBN Legal business name | Thornley, Tish A |
| Credentials | RN DC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093896532 | NPPES |
| Massachusetts | Other | 723255 | TUFTS |
| Massachusetts | MEDICAID | 1609173 | TUFTS |
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