Heller, Theo

Heller, Theo is an individual health care provider with primary practice located at 8600 Old Georgetown Rd , Bethesda MD 20814-1422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Heller, Theo can be contacted via phone (301) 896-3517.

Contact Information

Primary practice address
8600 Old Georgetown Rd Bethesda MD 20814-1422
Fax: (301) 493-4259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0043914 Maryland
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D0043904 Maryland

Profile Details

NPI number 1457342305
LBN Legal business name Heller, Theo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 6th, 2009 - about 16 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 1457342305 NPPES
Maryland MEDICAID 415096100

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