Thiele, Elizabeth Anne

Thiele, Elizabeth Anne is an individual health care provider with primary practice located at 55 Fruit St Yaw 6B Pediatric Neurology, Boston MA 02114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Thiele, Elizabeth Anne can be contacted via phone (617) 726-6540.

Contact Information

Primary practice address
55 Fruit St Yaw 6B Pediatric Neurology Boston MA 02114
Phone: (617) 726-6540
Fax: (617) 726-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 79261 Massachusetts

Profile Details

NPI number 1982670535
LBN Legal business name Thiele, Elizabeth Anne
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982670535 NPPES
Massachusetts MEDICAID 3147088
Massachusetts Other J16820
Massachusetts Other 079261

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