Chrobak, Theodore Douglas
Chrobak, Theodore Douglas is an individual health care provider with primary practice located at 332 W 6Th St , East Liverpool OH 43920-2812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chrobak, Theodore Douglas can be contacted via phone (330) 386-6339.Contact Information
Primary practice address
332 W 6Th St
East Liverpool OH 43920-2812
Phone: (330) 386-6339
Fax: (330) 386-1224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006156C | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 05008296L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 34006156C | Ohio |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 05008296L | Pennsylvania |
Profile Details
| NPI number | 1245218478 |
|---|---|
| LBN Legal business name | Chrobak, Theodore Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Sep 22nd, 2008 - 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 | 1245218478 | NPPES |
| Ohio | MEDICAID | 2080555 | |
| Ohio | Other | 080192335 |
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