Organization
WYANDOT CHIROPRACTIC & FITNESS INC.
Active
Organization
WYANDOT CHIROPRACTIC & FITNESS INC.
Active
Other names
Dr. Matthew E Thiel
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EUGENE THIEL DC (DOCTOR OF CHIROPRACTIC)
(419) 294-3489
Entity
Organization
Contact information
Practice address
109 HOUPT DR, UPPER SANDUSKY, OH 43351-9201
(419) 294-3489
(419) 294-2791
Mailing address
109 HOUPT DR, UPPER SANDUSKY, OH 43351-9201
(419) 294-3489
(419) 294-2791
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
OH
01
—
000000121332
ANTHEM
OH
01
—
1821004052
NPI (INDIVIDUAL)
OH
01
—
273645910002
MEDICAL MUTUAL OF OHIO
OH
01
—
2795088
MEDICAID (INDIVIDUAL)
OH
01
—
2882911
MEDICAID (GROUP)
OH
01
—
5840453
OLD AETNA
OH
Enumeration date
08/18/2008
Last updated
05/21/2020
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