Thielen, Dominic

Thielen, Dominic is an sole proprietor health care provider with primary practice located at 106 W Washington St Ste 2 , Jefferson IA 50129-1920. 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, Dominic can be contacted via phone (515) 386-4192.

Contact Information

Primary practice address
106 W Washington St Ste 2 Jefferson IA 50129-1920
Phone: (515) 386-4192
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-4458 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 083240 Iowa

Profile Details

NPI number 1316397144
LBN Legal business name Thielen, Dominic
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2016
Last updated Dec 16th, 2021 - 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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