Thibault, William N
Thibault, William N is an individual health care provider with primary practice located at 1310 W. Stewart Drive Suite 503, Orange CA 92868-3856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Thibault, William N can be contacted via phone (714) 997-2224.Contact Information
Primary practice address
1310 W. Stewart Drive Suite 503
Orange CA 92868-3856
Phone: (714) 997-2224
Fax: (714) 997-1187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G19938 | California |
Profile Details
| NPI number | 1417981929 |
|---|---|
| LBN Legal business name | Thibault, William N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | May 6th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417981929 | NPPES |
| California | MEDICAID | 00G199380 | |
| California | Other | G19938 |
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