Atkinson, Theodore H

Atkinson, Theodore H is an sole proprietor health care provider with primary practice located at 462 Trapelo Rd , Belmont MA 02478-1421. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Atkinson, Theodore H can be contacted via phone (617) 484-0123.

Contact Information

Primary practice address
462 Trapelo Rd Belmont MA 02478-1421
Fax: (617) 484-3337
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1364 Massachusetts

Profile Details

NPI number 1922005511
LBN Legal business name Atkinson, Theodore H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Apr 28th, 2008 - 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 1922005511 NPPES
Massachusetts Other 1225970001 MEDICARE NSC
Massachusetts MEDICAID 0300624 MEDICARE NSC

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