Thibert, Michael D

Thibert, Michael D is an individual health care provider with primary practice located at 475 Bruce St , Yreka CA 96097-3474. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thibert, Michael D can be contacted via phone (530) 842-1267.

Contact Information

Primary practice address
475 Bruce St Yreka CA 96097-3474
Phone: (530) 842-1267
Fax: (530) 842-9121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12103 California

Profile Details

NPI number 1659301208
LBN Legal business name Thibert, Michael D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 2nd, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659301208 NPPES
California Other P00165970 RAILROAD MEDICARE
California MEDICAID PA12103 RAILROAD MEDICARE

Popular Providers