Thornton, Brian Daniel

Thornton, Brian Daniel is an individual health care provider with primary practice located at 151 N Sunrise Ave Suite 611, Roseville CA 95661-2924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Thornton, Brian Daniel can be contacted via phone (916) 789-1505.

Contact Information

Primary practice address
151 N Sunrise Ave Suite 611 Roseville CA 95661-2924
Phone: (916) 789-1505
Fax: (916) 789-1513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A72684 California

Profile Details

NPI number 1689625147
LBN Legal business name Thornton, Brian Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 12th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689625147 NPPES
California Other A72684 MEDICAL LICENSE
California MEDICAID GR0100970 MEDICAL LICENSE

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