Theile, Anthony Russell

Theile, Anthony Russell is an individual health care provider with primary practice located at 111 S Grant Ave , Columbus OH 43215-4701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Theile, Anthony Russell can be contacted via phone (614) 566-9000.

Contact Information

Primary practice address
111 S Grant Ave Columbus OH 43215-4701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34.010115 Ohio
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 34.010115 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34.010115 Ohio

Profile Details

NPI number 1689700791
LBN Legal business name Theile, Anthony Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Jul 20th, 2023 - about 2 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 1689700791 NPPES
Ohio MEDICAID 0326137

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