Thiele, Stefan Peter

Thiele, Stefan Peter is an individual health care provider with primary practice located at 9704 Southern Hills Dr , Plano TX 75025-5082. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thiele, Stefan Peter can be contacted via phone (903) 283-5300.

Contact Information

Primary practice address
9704 Southern Hills Dr Plano TX 75025-5082
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X TX24756 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L4756 Texas

Profile Details

NPI number 1568576650
LBN Legal business name Thiele, Stefan Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 21st, 2022 - about 4 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 1568576650 NPPES
Texas MEDICAID 157944301

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