Thorne, Irving D

Thorne, Irving D is an individual health care provider with primary practice located at 7920 Old Cedar Ave S , Bloomington MN 55425-1207. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thorne, Irving D can be contacted via phone (952) 428-1800.

Contact Information

Primary practice address
7920 Old Cedar Ave S Bloomington MN 55425-1207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30311 Minnesota

Profile Details

NPI number 1356316087
LBN Legal business name Thorne, Irving D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 28th, 2011 - about 15 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 1356316087 NPPES
Minnesota MEDICAID 736387700

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