Macdowell, Brian Thienemann
Macdowell, Brian Thienemann is an sole proprietor health care provider with primary practice located at 4724 Dover St Ne , Saint Petersburg FL 33703-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macdowell, Brian Thienemann can be contacted via phone (828) 778-8666.Contact Information
Primary practice address
4724 Dover St Ne
Saint Petersburg FL 33703-4126
Phone: (828) 778-8666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30836 | North Carolina |
Profile Details
| NPI number | 1417911835 |
|---|---|
| LBN Legal business name | Macdowell, Brian Thienemann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Dec 19th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417911835 | NPPES |
| North Carolina | MEDICAID | 8953676 | |
| North Carolina | Other | 0171620 | |
| North Carolina | Other | 53676 |
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