Thorne, Gary Marvin

Thorne, Gary Marvin is an sole proprietor health care provider with primary practice located at 307 Saint Johns Way Suite 5, Lewiston ID 83501-2435. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thorne, Gary Marvin can be contacted via phone (208) 746-0133.

Contact Information

Primary practice address
307 Saint Johns Way Suite 5 Lewiston ID 83501-2435
Phone: (208) 746-0133
Fax: (208) 746-0134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-3996 Idaho

Profile Details

NPI number 1841306339
LBN Legal business name Thorne, Gary Marvin
Credentials MD, FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841306339 NPPES
Idaho MEDICAID 001529600
Idaho Other 000010006068
Idaho Other 0083005
Idaho Other 13DO521109
Idaho MEDICAID 1502103

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