Thiel, John E
Thiel, John E is an sole proprietor health care provider with primary practice located at 2095 Henry Tecklenburg Dr , Charleston SC 29414-5733. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Thiel, John E can be contacted via phone (843) 452-7205.Contact Information
Primary practice address
2095 Henry Tecklenburg Dr
Charleston SC 29414-5733
Phone: (843) 452-7205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R58231 | South Carolina |
Profile Details
| NPI number | 1093717506 |
|---|---|
| LBN Legal business name | Thiel, John E |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093717506 | NPPES |
| South Carolina | MEDICAID | AN1011 |
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