Adele A Thiel in Jackson - Specialist

Adele A Thiel - NPI 1992810691

Adele A Thiel is a Specialist in Jackson, Mississippi. Adele A Thiel practices all healthcare services and medical treatments related to Specialist. The NPI Number for Adele A Thiel is 1992810691. The last update date is 2018-10-15.

Adele A Thiel's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845500 and fax number 6019845503. The mailing address for Adele A Thiel is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Adele A Thiel
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019845500
Fax Number 6019845503
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1992810691
Provider Enumeration Date 2006-08-20
Last Updated Date 2018-10-15

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019845500
Fax Number 6019845503

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 12161
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9013832 MS --
130010501 MS RAILROAD MEDICARE
114179 MS --

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FAQs about Adele A Thiel

What is the unique 10-digit identifier code assigned to Adele A Thiel by the Centers for Medicare & Medicaid Services?

The Adele A Thiel has been issued the NPI (National Provider Identifier) 1992810691 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Adele A Thiel's facilities are geographically located?

The facilities of Adele A Thiel are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.

What is Adele A Thiel's specialized field of practice, and what is the corresponding taxonomy classification code?

The Adele A Thiel's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992810691 to Adele A Thiel?

The Adele A Thiel received its 1992810691 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.

When was the information pertaining to Adele A Thiel most recently updated or revised?

The details related to Adele A Thiel, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-15.

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