Thornton, Robert S

Thornton, Robert S is an individual health care provider with primary practice located at 700 W Ironwood Dr Suite 110, Coeur D Alene ID 83814-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Thornton, Robert S can be contacted via phone (208) 666-3200.

Contact Information

Primary practice address
700 W Ironwood Dr Suite 110 Coeur D Alene ID 83814-2656
Phone: (208) 666-3200
Fax: (208) 666-3217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M5287 Idaho

Profile Details

NPI number 1447252127
LBN Legal business name Thornton, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Feb 24th, 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 1447252127 NPPES
Idaho MEDICAID 003972600
Idaho Other B1246
Idaho Other DZ502
Idaho MEDICAID 8100224
Idaho Other P00104438
Idaho Other 1133570
Idaho Other 300093018

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