Thiele, James W.

Thiele, James W. is an individual health care provider with primary practice located at 900 N. 1St Street , Springfield IL 62702-3749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Thiele, James W. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
900 N. 1St Street Springfield IL 62702-3749
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036-102649 Illinois

Profile Details

NPI number 1659465813
LBN Legal business name Thiele, James W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 19th, 2020 - about 5 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 1659465813 NPPES
Illinois MEDICAID 036102649

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