Thornton, Katie Lynn

Thornton, Katie Lynn is an individual health care provider with primary practice located at 6905 E State St , Rockford IL 61108-2692. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is her primary health care specialty. Thornton, Katie Lynn can be contacted via phone (815) 397-4142.

Contact Information

Primary practice address
6905 E State St Rockford IL 61108-2692
Phone: (815) 397-4142
Fax: (815) 397-4144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 500509356 Illinois
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1871844662
LBN Legal business name Thornton, Katie Lynn
Credentials RTR
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated Sep 20th, 2012 - about 12 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 1871844662 NPPES
Illinois Other 500509356 IEMA DIVISION OF NUCLEAR SAFETY

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