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WYANDOT CHIROPRACTIC & FITNESS INC. NPI 1689820946


NPI Information

NPI: 1689820946
Provider Name: WYANDOT CHIROPRACTIC & FITNESS INC.

Doing Business As: DR. MATTHEW E THIEL

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
109 HOUPT DR
UPPER SANDUSKY, OH
ZIP 43351
Phone: (419) 294-3489
Get Directions

WYANDOT CHIROPRACTIC & FITNESS INC. is a sports physician chiropractor in Upper Sandusky, OH. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. WYANDOT CHIROPRACTIC & FITNESS INC. NPI is 1689820946. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Matthew E Thiel.

The provider's business location address is:

109 HOUPT DR
UPPER SANDUSKY, OH
ZIP 43351-201
Phone: (419) 294-3489
Fax: (419) 294-2791

The provider's authorized official is Matthew Eugene Thiel .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (419) 294-3489.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 5/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician1102OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12795088OTHEROHIOMEDICAID (INDIVIDUAL)
22882911OTHEROHIOMEDICAID (GROUP)
3$$$$$$$$$OTHEROHIOSOCIAL SECURITY NUMBER
4273645910002OTHEROHIOMEDICAL MUTUAL OF OHIO
55840453OTHEROHIOOLD AETNA
61821004052OTHEROHIONPI (INDIVIDUAL)
7000000121332OTHEROHIOANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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