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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992810691 NPPES
Mississippi MEDICAID 09013832
Mississippi Other 130010501
Mississippi MEDICAID 0114179

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