Individual provider · Type 1 NPI
Eavan Thornton, MB, BCH, BAO
Student in an Organized Health Care Education/Training Program · Boston, MA
Practice location
330 Brookline Ave., Beth Israel Deaconess Medical Center
Boston, MA 02115
Mailing address
1284 Beacon St Apt 820
Brookline, MA 02446-3736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 239903 (MA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1619299138
Eavan Thornton, MB, BCH, BAO's National Provider Identifier is 1619299138, issued on Feb 25, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Feb 25, 2010.