Thiele, Elizabeth Anne
Thiele, Elizabeth Anne is an individual health care provider with primary practice located at 55 Fruit St Yaw 6B Pediatric Neurology, Boston MA 02114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Thiele, Elizabeth Anne can be contacted via phone (617) 726-6540.Contact Information
Primary practice address
55 Fruit St Yaw 6B Pediatric Neurology
Boston MA 02114
Phone: (617) 726-6540
Fax: (617) 726-0230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 79261 | Massachusetts |
Profile Details
| NPI number | 1982670535 |
|---|---|
| LBN Legal business name | Thiele, Elizabeth Anne |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Feb 19th, 2013 - about 12 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 | 1982670535 | NPPES |
| Massachusetts | MEDICAID | 3147088 | |
| Massachusetts | Other | J16820 | |
| Massachusetts | Other | 079261 |
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