Provider Demographics
NPI:1427180850
Name:THIEL CHIROPRACTIC INCORPORATED
Entity Type:Organization
Organization Name:THIEL CHIROPRACTIC INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LUKE
Authorized Official - Last Name:THIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-422-4491
Mailing Address - Street 1:1003 BLANCHARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840
Mailing Address - Country:US
Mailing Address - Phone:419-422-4491
Mailing Address - Fax:419-425-4655
Practice Address - Street 1:1003 BLANCHARD AVENUE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-422-4491
Practice Address - Fax:419-425-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1766111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH273647581001OtherMEDICAL MUTUAL OF OHIO
OH27364758100OtherOH BWC
OH27364758100OtherOH BWC
OH27364758100OtherOH BWC
OH=========1001OtherANTHEM BC BS