Thiel, Michael
Thiel, Michael is an individual health care provider with primary practice located at 145 S Virginia St , Crystal Lake IL 60014-7226. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Thiel, Michael can be contacted via phone (815) 397-7654.Contact Information
Primary practice address
145 S Virginia St
Crystal Lake IL 60014-7226
Phone: (815) 397-7654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.012580 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 178.012580 | Illinois |
Profile Details
| NPI number | 1154782068 |
|---|---|
| LBN Legal business name | Thiel, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2016 |
| Last updated | Jul 6th, 2022 - about 4 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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