Casper, Theodore
Casper, Theodore is an individual health care provider with primary practice located at 1250 Waters Pl Suite 506, Bronx NY 10461-2720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Casper, Theodore can be contacted via phone (718) 892-1200.Contact Information
Primary practice address
1250 Waters Pl Suite 506
Bronx NY 10461-2720
Phone: (718) 892-1200
Fax: (718) 918-1696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 150115 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 150115 | New York |
Profile Details
| NPI number | 1457352593 |
|---|---|
| LBN Legal business name | Casper, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Oct 28th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457352593 | NPPES |
| New York | MEDICAID | 01418386 |
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