Thoele, Jonathon Paul
Thoele, Jonathon Paul is an individual health care provider with primary practice located at 105 W Main St , Mount Sterling IL 62353-1223. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thoele, Jonathon Paul can be contacted via phone (217) 773-3055.Contact Information
Primary practice address
105 W Main St
Mount Sterling IL 62353-1223
Phone: (217) 773-3055
Fax: (217) 773-3522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2012025597 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002553 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010606 | Illinois |
Profile Details
| NPI number | 1114282548 |
|---|---|
| LBN Legal business name | Thoele, Jonathon Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2012 |
| Last updated | Feb 22nd, 2018 - about 7 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 | 1114282548 | NPPES |
| Iowa | MEDICAID | 1114282548 | |
| Iowa | MEDICAID | 1114282548 | |
| Iowa | MEDICAID | 1114282548 |
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