Provider Demographics
NPI:1306024252
Name:AM & SHARON C THORNTON
Entity Type:Organization
Organization Name:AM & SHARON C THORNTON
Other - Org Name:THORNTON CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-838-3346
Mailing Address - Street 1:1650 MONMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97351-9726
Mailing Address - Country:US
Mailing Address - Phone:503-838-3346
Mailing Address - Fax:503-838-3346
Practice Address - Street 1:1650 MONMOUTH ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OR
Practice Address - Zip Code:97351-9726
Practice Address - Country:US
Practice Address - Phone:503-838-3346
Practice Address - Fax:503-838-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-02
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
100636Medicare UPIN