Gellert, Theodore B
Gellert, Theodore B is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne Msc10-5610 2-Acc, Albuquerque NM 87106-2745. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gellert, Theodore B can be contacted via phone (505) 272-6901.Contact Information
Primary practice address
2211 Lomas Blvd Ne Msc10-5610 2-Acc
Albuquerque NM 87106-2745
Phone: (505) 272-6901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA2007-0036 | New Mexico |
Profile Details
| NPI number | 1689852196 |
|---|---|
| LBN Legal business name | Gellert, Theodore B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Jul 14th, 2023 - about 2 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 | 1689852196 | NPPES |
| New Mexico | Other | 995993 | UNMH |
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