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Michael Andre Thibault JR.

Technician/Technologist

19853 Outer Dr Ste 110
Dearborn , Michigan 48124-2044

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Michael Andre Thibault JR.

Technician/Technologist

19853 Outer Dr Ste 110
Dearborn , Michigan 48124-2044

Write a Review Save Call

Michael Andre Thibault JR.

Technician/Technologist

19853 Outer Dr Ste 110
Dearborn , Michigan 48124-2044

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Technician/Technologist

Languages spoken

  • English

Location

19853 Outer Dr Ste 110 Dearborn , Michigan 48124-2044

First Address

  • Michael Andre Thibault JR.
  • 19853 Outer Dr Ste 110
  • Dearborn, MI
  • Zip : 48124-2044
  • Phone :

Second Address

  • Michael Andre Thibault JR.
  • 19853 Outer Dr Ste 110
  • Dearborn, MI
  • Zip : 48124-2044
  • Phone : (313) 406-5056

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FAQs


Where did Michael Andre Thibault JR. attend graduate school?

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Where did Michael Andre Thibault JR. do his residency?

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Where did Michael Andre Thibault JR. do his fellowship?

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Is Michael Andre Thibault JR. board certified?

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What type of doctor is Michael Andre Thibault JR.

Technician/Technologist

In what state does Michael Andre Thibault JR. practice in?

Michigan

Where is Michael Andre Thibault JR.’s practice located?

19853 Outer Dr Ste 110 , Dearborn, Michigan, 48124-2044

What is Michael Andre Thibault JR.’s gender?

Male

Is Michael Andre Thibault JR. a sole practitioner?

No

Is Michael Andre Thibault JR. accepting new patients?

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What languages does Michael Andre Thibault JR. speak?

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Does Michael Andre Thibault JR. accept insurance?

Yes, Michael Andre Thibault JR. accepts insurance

Does Michael Andre Thibault JR. offers telemedicine?

Michael Andre Thibault JR. has not indicated if he offers telemedicine

What is Michael Andre Thibault JR.’s professional license number?

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What is Michael Andre Thibault JR.’s NPI number?

1023772209

Does Michael Andre Thibault JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 156F00000X Technician/Technologist MI

National Provider Identifier

NPI 1023772209
Provider Name Michael Andre Thibault JR.
First Address Dearborn, MI 48124-2044
Second Address Dearborn, MI 48124-2044
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/10/2021
Last Update Date 25/10/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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