Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 34-009255 | OH |
NPI | 1043482037 |
---|---|
Provider Name | Alicia Hope Thorne |
First Address | Westerville, OH 43081-2890 |
Second Address | Westerville, OH 43081-2890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2008 |
Last Update Date | 26/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0053605 | (05) | OH |