Individual
MR. JORDAN DEREK THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1503 K ST, ANCHORAGE, AK 99501-4965
(907) 717-5565
Mailing address
1503 K ST, ANCHORAGE, AK 99501-4965
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB341390
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001163781
—
AK
Enumeration date
01/03/2018
Last updated
01/03/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us