Choma, Theodore John

Choma, Theodore John is an individual health care provider with primary practice located at 1100 Virginia Ave , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Choma, Theodore John can be contacted via phone (573) 882-2663.

Contact Information

Primary practice address
1100 Virginia Ave Columbia MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 882-5847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2006006302 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 2006006302 Missouri

Profile Details

NPI number 1609813799
LBN Legal business name Choma, Theodore John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 5th, 2022 - about 2 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 1609813799 NPPES
Missouri Other 204960 BLUE SHIELD
Missouri Other 739111 BLUE SHIELD
Missouri MEDICAID 200757409 BLUE SHIELD
Missouri Other 204960 BLUE SHIELD

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