Belanger, Theodore Andrew

Belanger, Theodore Andrew is an individual health care provider with primary practice located at 3164 Horizon Rd Suite 100, Rockwall TX 75032-7805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Belanger, Theodore Andrew can be contacted via phone (972) 772-8767.

Contact Information

Primary practice address
3164 Horizon Rd Suite 100 Rockwall TX 75032-7805
Phone: (972) 772-8767
Fax: (972) 772-8780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 2006-00556 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2003-00556 North Carolina

Profile Details

NPI number 1700869997
LBN Legal business name Belanger, Theodore Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 14th, 2016 - about 8 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 1700869997 NPPES
North Carolina MEDICAID 89134HW

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