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Eliza Ervin Fulton Thornton

Family Doctor Family Doctor - Adult Medicine

1055 Westlakes Dr Ste 3152
Berwyn , Pennsylvania 19312-2410

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Eliza Ervin Fulton Thornton

Family Doctor Family Doctor - Adult Medicine

1055 Westlakes Dr Ste 3152
Berwyn , Pennsylvania 19312-2410

(855) 618-6655

Write a Review Save Call

Eliza Ervin Fulton Thornton

Family Doctor Family Doctor - Adult Medicine

1055 Westlakes Dr Ste 3152
Berwyn , Pennsylvania 19312-2410

(855) 618-6655 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

1055 Westlakes Dr Ste 3152 Berwyn , Pennsylvania 19312-2410

First Address

  • Eliza Ervin Fulton Thornton
  • 500 Kirts Blvd Ste 100
  • Troy, MI
  • Zip : 48084-4135
  • Fax : (855) 618-6655
  • Phone : (248) 434-6169

Second Address

  • Eliza Ervin Fulton Thornton
  • 1055 Westlakes Dr Ste 3152
  • Berwyn, PA
  • Zip : 19312-2410
  • Fax : (215) 220-3562
  • Phone : (215) 346-6050

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FAQs


Where did Eliza Ervin Fulton Thornton attend graduate school?

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Where did Eliza Ervin Fulton Thornton do her residency?

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Where did Eliza Ervin Fulton Thornton do her fellowship?

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Is Eliza Ervin Fulton Thornton board certified?

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What type of doctor is Eliza Ervin Fulton Thornton

Family Doctor - Adult Medicine

In what state does Eliza Ervin Fulton Thornton practice in?

Pennsylvania

Where is Eliza Ervin Fulton Thornton ’s practice located?

1055 Westlakes Dr Ste 3152 , Berwyn, Pennsylvania, 19312-2410

What is Eliza Ervin Fulton Thornton ’s gender?

Female

Is Eliza Ervin Fulton Thornton a sole practitioner?

No

Is Eliza Ervin Fulton Thornton accepting new patients?

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What languages does Eliza Ervin Fulton Thornton speak?

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Does Eliza Ervin Fulton Thornton accept insurance?

Yes, Eliza Ervin Fulton Thornton accepts insurance

Does Eliza Ervin Fulton Thornton offers telemedicine?

Eliza Ervin Fulton Thornton has not indicated if she offers telemedicine

What is Eliza Ervin Fulton Thornton ’s professional license number?

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What is Eliza Ervin Fulton Thornton ’s NPI number?

1255582201

Does Eliza Ervin Fulton Thornton have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor MD436674 PA
Y 207QA0505X Family Doctor - Adult Medicine MD436674 PA

National Provider Identifier

NPI 1255582201
Provider Name Eliza Ervin Fulton Thornton
First Address Troy, MI 48084-4135
Second Address Berwyn, PA 19312-2410
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/10/2008
Last Update Date 23/11/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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