Anderson, Theodore Starbuck

Anderson, Theodore Starbuck is an sole proprietor health care provider with primary practice located at 122 N Elm St Suite 400, Greensboro NC 27401-2878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Theodore Starbuck can be contacted via phone (336) 334-5601.

Contact Information

Primary practice address
122 N Elm St Suite 400 Greensboro NC 27401-2878
Phone: (336) 334-5601
Fax: (336) 334-5657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20092 North Carolina

Profile Details

NPI number 1245354752
LBN Legal business name Anderson, Theodore Starbuck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1245354752 NPPES
North Carolina Other 11271 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 3403407 BLUE CROSS BLUE SHIELD

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