Thiel, Joseph Matthew

Thiel, Joseph Matthew is an sole proprietor health care provider with primary practice located at 558 West De Koven , Chicago IL 60607. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Thiel, Joseph Matthew can be contacted via phone (773) 706-1632.

Contact Information

Primary practice address
558 West De Koven Chicago IL 60607
Phone: (773) 706-1632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 060352333 Illinois

Profile Details

NPI number 1114577210
LBN Legal business name Thiel, Joseph Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2019
Last updated Sep 19th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114577210 NPPES
Illinois MEDICAID 7000

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