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NPI Code Detail

MEDICARE: RICK THORNTON DPM

MEDICARE:   RICK  THORNTON  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist016005314IL
2213E00000XPodiatrist689TN
3213E00000XPodiatrist299AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1510-49599OTHERALBCBSAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
306-1763397OTHERILTAX ID #
401636612OTHERILBCBS PROVIDER #

General Provider Information

NPI Number : 1518162858
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICK THORNTON DPM
Provider Business Mailing Address
First Line : 1060 GRANDVIEW BLVD
Second Line : SUITE 623
City : HUNTSVILLE
State : AL
Zip : 35824-1497
Country : US
Telephone Number : 312-752-7713
Fax Number :
Provider Business Practice Location Address
First Line : 1060 GRANDVIEW BLVD
Second Line : SUITE 623
City : HUNTSVILLE
State : AL
Zip : 35824-1497
Country : US
Telephone Number : 312-752-7713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 01/09/2023

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Directions to “ RICK THORNTON DPM” Practice Location

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