Jacob Thiede, is a
Student In An Organized Health Care Education/training Program based in St George, Utah. Jacob Thiede is licensed to practice in * (Not Available) (license number ) and his current practice location is
491 E Riverside Dr Ste 3a, St George, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 980-2566.
NPI number for Jacob Thiede is 1689233587 and his current mailing address is 2461 S 780 W, Hurricane, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689233587.
Healthcare Provider's Profile
| Full Name | Jacob Thiede |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 491 E Riverside Dr Ste 3a, St George, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689233587
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 12/23/2024
Medical Identifiers
Medical identifiers for Jacob Thiede such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689233587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Thiede is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Thiede,
2461 S 780 W,
Hurricane, UT 84737-2648
Ph: (801) 831-1841 | Jacob Thiede,
491 E Riverside Dr Ste 3a,
St George, UT 84790-7056
Ph: (801) 980-2566 |
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