Individual
CHRISTOPHER THORESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10506 MONTGOMERY RD, CINCINNATI, OH 45242-4487
(513) 792-7800
(513) 792-7807
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 366-4488
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35058470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019929
ANTHEM
—
01
—
0645403
AETNA
—
05
—
0875003
—
OH
05
—
100350220
—
IN
01
—
11438871058
CARESOURCE
—
01
—
2520404
UNITED
—
01
—
283926
AMERIGROUP
—
01
—
39948894005
MEDICAL MUTUAL OF OHIO
—
01
—
58470-13
HUMANA
—
05
—
64869753
—
KY
01
—
P00023081
RAILROAD MEDICARE
OH
Enumeration date
04/17/2006
Last updated
09/29/2017
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