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
Phone: (989) 631-6730
Fax: (989) 631-4968
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629141551 | NPPES |
| Michigan | MEDICAID | 1993925 | |
| Michigan | Other | 1605608302 | |
| Michigan | Other | 382029531051 |
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