Thiel, Joseph Matthew
Thiel, Joseph Matthew is an sole proprietor health care provider with primary practice located at 558 West De Koven , Chicago IL 60607. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Thiel, Joseph Matthew can be contacted via phone (773) 706-1632.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate | 146M00000X | 060352333 | Illinois |
Profile Details
NPI number | 1114577210 |
---|---|
LBN Legal business name | Thiel, Joseph Matthew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 19th, 2019 |
Last updated | Sep 19th, 2019 - about 6 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 | 1114577210 | NPPES |
Illinois | MEDICAID | 7000 |
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