ZACHARY AUSTIN EARL THIESING


Address: 325 Via Del Sol Dr, Davenport, FL 33896-6624
Phone: 7039091448

ZACHARY AUSTIN EARL THIESING (NPI# 1346869179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346869179
Entity Type Individual
Full Name ZACHARY AUSTIN EARL THIESING
Practice Address 325 Via Del Sol Dr
Davenport
FL 33896-6624
Practice Telephone 7039091448
Mailing Telephone 7039091448
Enumeration Date 2020-04-12
Last Update Date 2020-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 325 VIA DEL SOL DR
City DAVENPORT
State FL
Zip Code 33896-6624

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1982984498 Ruba Khandakji Pharmacist 1395 Tuscana Lane, Davenport, FL 33896 2011-08-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740839042 Jason Zinnel Student in an Organized Health Care Education/Training Program 3438 Washington St, Davenport, IA 52806-5608 2019-09-09
1932758265 Ellyn Joy Watters Student in an Organized Health Care Education/Training Program 3501 Jersey Ridge Rd Apt 704, Davenport, IA 52807-2248 2019-09-09
1710533047 Devin Stane Student in an Organized Health Care Education/Training Program 7211 Cedar St, Davenport, IA 52806-1113 2019-08-13
1023570801 Amanda Campbell Student in an Organized Health Care Education/Training Program 764 Lobelia Dr, Davenport, FL 33837-9122 2019-04-02
1851879183 Shyanne Saladino Student in an Organized Health Care Education/Training Program 3512 N Pine St, Davenport, IA 52806-5256 2018-07-30
1851802276 Sam Xavier Funk Student in an Organized Health Care Education/Training Program 1536 W Central Park Ave, Davenport, IA 52804-1741 2017-10-12
1073907317 Austin Smith Student in an Organized Health Care Education/Training Program 2216 W 30th St, Davenport, IA 52804-1408 2015-03-25
1205063096 Ryan Bobst Student in an Organized Health Care Education/Training Program 1229 W 8th St, Davenport, IA 52802-1331 2009-06-18
1720695307 Jordan Barber Student in an Organized Health Care Education/Training Program 1320 W Lombard St, Davenport, IA 52804-2029 2020-09-28
1982210514 Carly Kristine Ouverson Student in an Organized Health Care Education/Training Program 518 W Locust St, Davenport, IA 52803-2829 2020-09-18
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Competitor

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City DAVENPORT
Zip Code 33896

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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