Individual
MR. MICHAEL GEORGE THEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
723 BURKESVILLE HWY, ALBANY, KY 42602-1654
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1059523
KY
367500000X
Certified Registered Nurse Anesthetist
10643
TN
367500000X
Certified Registered Nurse Anesthetist
1102A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350186
BLUE CROSS/BLUE SHIELD
KY
05
—
74110214
—
KY
01
—
P00408377
RAILROAD MEDICARE PIN
KY
Enumeration date
11/10/2005
Last updated
01/11/2011
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