Thiemann, Mark Walter

Thiemann, Mark Walter is an individual health care provider with primary practice located at 2454 Kipling Avenue Ste 120, Cincinnati OH 45239-6600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thiemann, Mark Walter can be contacted via phone (513) 981-6784.

Contact Information

Primary practice address
2454 Kipling Avenue Ste 120 Cincinnati OH 45239-6600
Phone: (513) 981-6784
Fax: (513) 853-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-00-0882 Ohio

Profile Details

NPI number 1386634046
LBN Legal business name Thiemann, Mark Walter
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jan 8th, 2013 - about 11 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 1386634046 NPPES
Ohio MEDICAID 0077577
Ohio Other PA-P00919620

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