Thye, Russell A.

Thye, Russell A. is an individual health care provider with primary practice located at 2530 Abarr Dr Ste 120B, Loveland CO 80538-3170. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thye, Russell A. can be contacted via phone (970) 622-9715.

Contact Information

Primary practice address
2530 Abarr Dr Ste 120B Loveland CO 80538-3170
Phone: (970) 622-9715
Fax: (970) 622-9736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2547 Colorado

Profile Details

NPI number 1629042593
LBN Legal business name Thye, Russell A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 29th, 2017 - about 9 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 1629042593 NPPES
Colorado MEDICAID 72152338

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