Thornton, Ted
Thornton, Ted is an individual health care provider with primary practice located at 1418 Maccorkle Ave Sw Ste A , Charleston WV 25303-1331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Thornton, Ted can be contacted via phone (304) 348-1419.Contact Information
Primary practice address
1418 Maccorkle Ave Sw Ste A
Charleston WV 25303-1331
Phone: (304) 348-1419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 14747 | West Virginia |
Profile Details
| NPI number | 1194739938 |
|---|---|
| LBN Legal business name | Thornton, Ted |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Feb 26th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194739938 | NPPES |
| West Virginia | MEDICAID | 3810012081 | |
| West Virginia | MEDICAID | 0041288000 |
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