Thoele, Ryan Scott

Thoele, Ryan Scott is an individual health care provider with primary practice located at 1505 W Main St , Mt Zion IL 62549-1300. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thoele, Ryan Scott can be contacted via phone (217) 864-3221.

Contact Information

Primary practice address
1505 W Main St Mt Zion IL 62549-1300
Phone: (217) 864-3221
Fax: (217) 596-4670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010469 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 2013000824 Missouri

Profile Details

NPI number 1700144029
LBN Legal business name Thoele, Ryan Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700144029 NPPES
Illinois MEDICAID 1700144029
Illinois MEDICAID 1700144029

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