Thiele, Scott Allen

Thiele, Scott Allen is an individual health care provider with primary practice located at 3016 W Wackerly St , Midland MI 48640-6160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Thiele, Scott Allen can be contacted via phone (989) 631-6730.

Contact Information

Primary practice address
3016 W Wackerly St Midland MI 48640-6160
Fax: (989) 631-4968
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301050197 Michigan

Profile Details

NPI number 1629141551
LBN Legal business name Thiele, Scott Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629141551 NPPES
Michigan MEDICAID 1993925
Michigan Other 1605608302
Michigan Other 382029531051

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