Feely, Theodore Stevens
Feely, Theodore Stevens is an individual health care provider with primary practice located at 817 Princeton Avenue Sw Professional Office Bldg Ii, Suite 206, Birmingham AL 35211. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Feely, Theodore Stevens can be contacted via phone (205) 226-5900.Contact Information
Primary practice address
817 Princeton Avenue Sw Professional Office Bldg Ii, Suite 206
Birmingham AL 35211
Phone: (205) 226-5900
Fax: (205) 226-5937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200500182 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 060832 | Georgia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 060832 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.34508 | Alabama |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 34508 | Alabama |
Profile Details
| NPI number | 1982756599 |
|---|---|
| LBN Legal business name | Feely, Theodore Stevens |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Nov 20th, 2018 - about 7 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 | 1982756599 | NPPES |
| Georgia | Other | 1241808 | AMERIGROUP |
| Georgia | Other | 52260873 001 | AMERIGROUP |
| Georgia | Other | P00649787 | AMERIGROUP |
| Georgia | Other | N460702 | AMERIGROUP |
| Georgia | MEDICAID | 196561329A | AMERIGROUP |
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