Thiele, Holly

Thiele, Holly is an individual health care provider with primary practice located at 2700 W Norfolk Ave , Norfolk NE 68701-4438. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Thiele, Holly can be contacted via phone (402) 844-8126.

Contact Information

Primary practice address
2700 W Norfolk Ave Norfolk NE 68701-4438
Phone: (402) 844-8126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1088 Nebraska
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1088 Nebraska

Profile Details

NPI number 1144640764
LBN Legal business name Thiele, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated Sep 16th, 2022 - about 2 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 1144640764 NPPES
Nebraska Other 1088 STATE OF NEBRASKA HHS MEDICAL NUTITION THERAPIST LICENSE
Nebraska Other 963990 STATE OF NEBRASKA HHS MEDICAL NUTITION THERAPIST LICENSE

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