Thiel, Joan

Thiel, Joan is an individual health care provider with primary practice located at 1509 Atkinson Rd Suite 1100, Lawrenceville GA 30043-7986. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Thiel, Joan can be contacted via phone (770) 995-2379.

Contact Information

Primary practice address
1509 Atkinson Rd Suite 1100 Lawrenceville GA 30043-7986
Phone: (770) 995-2379
Fax: (770) 995-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT000091 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT000091 Georgia

Profile Details

NPI number 1306913496
LBN Legal business name Thiel, Joan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 5th, 2011 - about 13 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 1306913496 NPPES
Georgia MEDICAID 000758744A
Georgia MEDICAID 10037769
Georgia MEDICAID 306062

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