Delaet, Theodore James

Delaet, Theodore James is an sole proprietor health care provider with primary practice located at 11414 W Center Rd Suite 243, Omaha NE 68144-4486. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Delaet, Theodore James can be contacted via phone (402) 333-8210.

Contact Information

Primary practice address
11414 W Center Rd Suite 243 Omaha NE 68144-4486
Fax: (402) 333-2298
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 236 Nebraska

Profile Details

NPI number 1861418253
LBN Legal business name Delaet, Theodore James
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Sep 14th, 2011 - about 14 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 1861418253 NPPES
Nebraska MEDICAID 47-083617826

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