Anderson, Theodore Edward

Anderson, Theodore Edward is an sole proprietor health care provider with primary practice located at 1839 S El Dorado St , Stockton CA 95206-2025. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, Theodore Edward can be contacted via phone (209) 463-0872.

Contact Information

Primary practice address
1839 S El Dorado St Stockton CA 95206-2025
Phone: (209) 463-0872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1184842833
LBN Legal business name Anderson, Theodore Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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