Thiele, Jenna Marie
Thiele, Jenna Marie is an individual health care provider with primary practice located at 384 Se Combs Flat Rd Ste 1200 , Prineville OR 97754-2562. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thiele, Jenna Marie can be contacted via phone (541) 447-6263.Contact Information
Primary practice address
384 Se Combs Flat Rd Ste 1200
Prineville OR 97754-2562
Phone: (541) 447-6263
Fax: (541) 447-8724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11019602A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02005458A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO198748 | Oregon |
Profile Details
| NPI number | 1710407275 |
|---|---|
| LBN Legal business name | Thiele, Jenna Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Sep 11th, 2020 - about 6 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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