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Individual

DR. STEVEN THIELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
200 W CENTER ST, MANCHESTER, CT 06040-4864
(203) 204-2517
(860) 643-9133
Mailing address
200 W CENTER ST, MANCHESTER, CT 06040-4864
(203) 204-2517
(860) 643-9133

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000577
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050000577CT01
BLUECROSSBLUESHIELD
CT
01
4219342
AETNA
CT
01
6166581000
TAX NUMBER
CT
01
792118
CONNECTICARE
CT
01
CT4967
HEALTHNET
CT
Enumeration date
10/31/2006
Last updated
07/08/2007
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