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
Fax: (760) 353-8282
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386674000 NPPES
California Other 00G853200 MEDI-CAL

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