Healthcare Provider Details

I. General information

NPI: 1730128612
Provider Name (Legal Business Name): THORNTON EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 23RD ST
BEDFORD IN
47421-4704
US

IV. Provider business mailing address

PO BOX 42030
PHILADELPHIA PA
19101-2030
US

V. Phone/Fax

Practice location:
  • Phone: 812-275-3331
  • Fax: 812-276-1209
Mailing address:
  • Phone: 800-732-1066
  • Fax: 630-941-4333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES B MOROSCO
Title or Position: PRESIDENT/GENERAL PARTNER
Credential: D.O.
Phone: 800-732-1066