Colwell, Theodore W
Colwell, Theodore W is an individual health care provider with primary practice located at 315 Elm Street Ste 310, Caldwell ID 83605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Colwell, Theodore W can be contacted via phone (208) 454-2035.Contact Information
Primary practice address
315 Elm Street Ste 310
Caldwell ID 83605
Phone: (208) 454-2035
Fax: (208) 454-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D93712 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M-4462 | Idaho |
Profile Details
| NPI number | 1598735391 |
|---|---|
| LBN Legal business name | Colwell, Theodore W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jan 6th, 2022 - about 3 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 | 1598735391 | NPPES |
| Idaho | Other | 000010003390 | REGENCE BLUE SHIELD OF ID |
| Idaho | MEDICAID | 003644200 | REGENCE BLUE SHIELD OF ID |
| Idaho | MEDICAID | 291948 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 44628 | REGENCE BLUE SHIELD OF ID |
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