Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 2008003316 | MO |
N | 2084N0400X | Neurologist | 23662 | NE |
N | 2084N0400X | Neurologist | 36617 | IA |
NPI | 1033163266 |
---|---|
Provider Name | Jeffrey W Thornton |
First Address | North Kansas City, MO 64116-3276 |
Second Address | North Kansas City, MO 64116-3276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 21/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0718106 | (05) | IA |
10025242300 | (05) | NE |
1033163266 | (05) | MO |
13804 | WELLMARK - SHENANDOAH (01) | IA |
1718106 | (05) | IA |
250469 | MIDLANDS CHOICE (01) | NE |
2718106 | (05) | IA |
95878 | WELLMARK - 4242 FARNAM (01) | NE |
MA4872008 | (02) | MO |
P00325033 | RR MEDICARE (01) | NE |