Habel, Theodor

Habel, Theodor is an individual health care provider with primary practice located at 615 10Th St S , La Crosse WI 54601-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Habel, Theodor can be contacted via phone (608) 782-2027.

Contact Information

Primary practice address
615 10Th St S La Crosse WI 54601-4768
Fax: (608) 782-6172
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 15968 Wisconsin

Profile Details

NPI number 1467402156
LBN Legal business name Habel, Theodor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467402156 NPPES
Wisconsin MEDICAID 30225200

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