Firestone, Theodore Phillip

Firestone, Theodore Phillip is an sole proprietor health care provider with primary practice located at 20401 N 73Rd St Ste 160, Scottsdale AZ 85255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Firestone, Theodore Phillip can be contacted via phone (480) 237-5727.

Contact Information

Primary practice address
20401 N 73Rd St Ste 160 Scottsdale AZ 85255
Phone: (480) 237-5727
Fax: (480) 657-3207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 19529 Arizona

Profile Details

NPI number 1689654790
LBN Legal business name Firestone, Theodore Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Oct 28th, 2013 - about 11 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 1689654790 NPPES
Arizona MEDICAID 296352

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