Thiel, Adele A
Thiel, Adele A is an individual health care provider with primary practice located at 1020 River Oaks Dr Suite 420, Flowood MS 39232-9500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Thiel, Adele A can be contacted via phone (601) 939-4198.Contact Information
Primary practice address
1020 River Oaks Dr Suite 420
Flowood MS 39232-9500
Phone: (601) 939-4198
Fax: (601) 939-4120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 12161 | Mississippi |
| Other Service Providers / Specialist | 174400000X | 12161 | Mississippi |
Profile Details
| NPI number | 1992810691 |
|---|---|
| LBN Legal business name | Thiel, Adele A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Oct 15th, 2018 - about 7 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 | 1992810691 | NPPES |
| Mississippi | MEDICAID | 09013832 | |
| Mississippi | Other | 130010501 | |
| Mississippi | MEDICAID | 0114179 |
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