Provider Demographics
NPI:1003400276
Name:THORNTON, DENEIK LASHELL
Entity Type:Individual
Prefix:
First Name:DENEIK
Middle Name:LASHELL
Last Name:THORNTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6457 RIDGE RD APT 4
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5026
Mailing Address - Country:US
Mailing Address - Phone:216-466-2865
Mailing Address - Fax:
Practice Address - Street 1:6457 RIDGE RD APT 4
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5026
Practice Address - Country:US
Practice Address - Phone:216-466-2865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management