Affue, Theodore
Affue, Theodore is an sole proprietor health care provider with primary practice located at 2061 Ross Ave Suite A, El Centro CA 92243-3687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Affue, Theodore can be contacted via phone (760) 353-8181.Contact Information
Primary practice address
2061 Ross Ave Suite A
El Centro CA 92243-3687
Phone: (760) 353-8181
Fax: (760) 353-8282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | G85320 | California |
Profile Details
NPI number | 1386674000 |
---|---|
LBN Legal business name | Affue, Theodore |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2006 |
Last updated | May 4th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386674000 | NPPES |
California | Other | 00G853200 | MEDI-CAL |
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