Thielges, David Keith
Thielges, David Keith is an individual health care provider with primary practice located at 11 Tripp St , Medford OR 97504-7343. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thielges, David Keith can be contacted via phone (541) 773-7710.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1603 | Oregon |
Profile Details
| NPI number | 1295720415 |
|---|---|
| LBN Legal business name | Thielges, David Keith |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295720415 | NPPES |
| Oregon | MEDICAID | 225235 |
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