Thacker, Michelle Macey

Thacker, Michelle Macey is an individual health care provider with primary practice located at 2111 Lexington Ave , Lawrenceville IL 62439. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Thacker, Michelle Macey can be contacted via phone (618) 943-7214.

Contact Information

Primary practice address
2111 Lexington Ave Lawrenceville IL 62439
Phone: (618) 943-7214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017621 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71010904A Indiana

Profile Details

NPI number 1073003588
LBN Legal business name Thacker, Michelle Macey
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated Apr 20th, 2023 - about last year

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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