Ewusi-Mensah, Theodora
Ewusi-Mensah, Theodora is an individual health care provider with primary practice located at 304 West F Street , Ontario CA 91762-3206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ewusi-Mensah, Theodora can be contacted via phone (909) 983-4746.Contact Information
Primary practice address
304 West F Street
Ontario CA 91762-3206
Phone: (909) 983-4746
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A31536 | California |
Profile Details
| NPI number | 1679689194 |
|---|---|
| LBN Legal business name | Ewusi-Mensah, Theodora |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679689194 | NPPES |
| California | MEDICAID | 00A315360 |
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