Thielen, Craig Leslie

Thielen, Craig Leslie is an individual health care provider with primary practice located at 1731 W Ridgeway Ave Suite 600, Waterloo IA 50701-4594. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Thielen, Craig Leslie can be contacted via phone (319) 833-5900.

Contact Information

Primary practice address
1731 W Ridgeway Ave Suite 600 Waterloo IA 50701-4594
Phone: (319) 833-5900
Fax: (319) 833-5901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 00910 Iowa

Profile Details

NPI number 1942254719
LBN Legal business name Thielen, Craig Leslie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 1st, 2014 - about 10 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 1942254719 NPPES
Iowa MEDICAID 0492272
Iowa Other 17334

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