Thiel, Corby Louise

Thiel, Corby Louise is an individual health care provider with primary practice located at 1116 N 16Th St , Lafayette IN 47904-2119. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thiel, Corby Louise can be contacted via phone (765) 428-5850.

Contact Information

Primary practice address
1116 N 16Th St Lafayette IN 47904-2119
Phone: (765) 428-5850
Fax: (765) 428-5851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71001362A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001362A Indiana

Profile Details

NPI number 1952370991
LBN Legal business name Thiel, Corby Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 12th, 2021 - about 3 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 1952370991 NPPES
Indiana Other 000000300074 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200388070 ANTHEM PROVIDER NUMBER
Indiana Other 9397705 ANTHEM PROVIDER NUMBER

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