SearchIndiana363LF0000X

Patrick Thibeault

NPI 1437392834 · on the registry since 2009

Practice

Address
14018 S Annapolis Ct
Cedar Lake, IN 46303
Phone
(219) 765-9141

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana