Provider Demographics
NPI:1871595884
Name:THIEL, STEVEN L (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:THIEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 BLANCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6009
Mailing Address - Country:US
Mailing Address - Phone:419-422-4491
Mailing Address - Fax:419-425-4655
Practice Address - Street 1:1003 BLANCHARD AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6009
Practice Address - Country:US
Practice Address - Phone:419-422-4491
Practice Address - Fax:419-425-4655
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1766111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3416880811001OtherANTHEM BC/BS
OHU20632Medicare UPIN
OHTH0700661Medicare ID - Type Unspecified