Thornton, Julie R

Thornton, Julie R is an sole proprietor health care provider with primary practice located at 576 N Sunrise Ave Suite 110, Roseville CA 95661-2841. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Thornton, Julie R can be contacted via phone (916) 773-3937.

Contact Information

Primary practice address
576 N Sunrise Ave Suite 110 Roseville CA 95661-2841
Fax: (916) 773-3936
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP8600T California

Profile Details

NPI number 1023090693
LBN Legal business name Thornton, Julie R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Feb 2nd, 2009 - about 16 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 1023090693 NPPES
California MEDICAID SD0086000

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