Mark J Thibault in Sartell - Physical Medicine & Rehabilitation
Mark J Thibault - NPI 1679507776
Mark J Thibault is a Physical Medicine & Rehabilitation in Sartell, Minnesota. Mark J Thibault practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Mark J Thibault is 1679507776. The last update date is 2021-02-24.
Mark J Thibault's current location address is 1901 Connecticut Ave S, Sartell, Minnesota. You can contact this provider via phone number 3202594100 and fax number 3202575523. The mailing address for Mark J Thibault is 1901 Connecticut Ave S, Sartell, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Thibault |
|---|---|
| Address | 1901 Connecticut Ave S, Sartell, Minnesota |
| Phone Number | 3202594100 |
| Fax Number | 3202575523 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679507776 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2021-02-24 |
Provider Mailing Address Detail
| Address | 1901 Connecticut Ave S |
|---|---|
| City | Sartell |
| State | Minnesota (MN) |
| Post Code | 563772554 |
| Phone Number | 3202594100 |
| Fax Number | 3202575523 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 32514 |
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Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 243877100 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark J Thibault?
The Mark J Thibault has been issued the NPI (National Provider Identifier) 1679507776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark J Thibault is geographically located?
The Mark J Thibault is physically situated at the following location: 1901 Connecticut Ave S, Sartell, MN, 563772554.
What is Mark J Thibault's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark J Thibault is Physical Medicine & Rehabilitation, and the taxonomy code that categorizes this field of expertise is 208100000X.
On what date did the Mark J Thibault receive the assignment of its 1679507776 from the Centers for Medicare & Medicaid Services?
The Mark J Thibault was issued its 1679507776 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the details related to Mark J Thibault most recently updated or revised?
The information pertaining to Mark J Thibault, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-24.