Thornton, Jaclyn Blair
Thornton, Jaclyn Blair is an sole proprietor health care provider with primary practice located at Pain Specialist It Southern Oregon 825 Bennett Ave, Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Thornton, Jaclyn Blair can be contacted via phone (541) 779-5228.Contact Information
Primary practice address
Pain Specialist It Southern Oregon 825 Bennett Ave
Medford OR 97504
Phone: (541) 779-5228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 10003878 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 22326 | South Carolina |
Profile Details
| NPI number | 1255807087 |
|---|---|
| LBN Legal business name | Thornton, Jaclyn Blair |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2018 |
| Last updated | Mar 10th, 2023 - about 3 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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