Thole, Heather Sue

Thole, Heather Sue is an sole proprietor health care provider with primary practice located at 11948 Balm Riverview Rd , Riverview FL 33569-6601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thole, Heather Sue can be contacted via phone (813) 236-9000.

Contact Information

Primary practice address
11948 Balm Riverview Rd Riverview FL 33569-6601
Fax: (813) 236-9002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82918 Florida

Profile Details

NPI number 1033107388
LBN Legal business name Thole, Heather Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Aug 26th, 2014 - 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 1033107388 NPPES
Florida MEDICAID 262411700

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