Joseph, Harold Thibou
Joseph, Harold Thibou is an sole proprietor health care provider with primary practice located at 12 New Lane , Selden NY 11784-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Joseph, Harold Thibou can be contacted via phone (631) 451-0200.Contact Information
Primary practice address
12 New Lane
Selden NY 11784-3322
Phone: (631) 451-0200
Fax: (631) 716-1984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 096052 | New York |
Profile Details
| NPI number | 1851411573 |
|---|---|
| LBN Legal business name | Joseph, Harold Thibou |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Aug 4th, 2008 - about 17 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 | 1851411573 | NPPES |
| New York | MEDICAID | 00160090 |
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