Hendrickson, Theodore

Hendrickson, Theodore is an individual health care provider with primary practice located at 43 Robert Ln , Fairfield CT 06824-2918. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Hendrickson, Theodore can be contacted via phone (203) 209-2180.

Contact Information

Primary practice address
43 Robert Ln Fairfield CT 06824-2918
Phone: (203) 209-2180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 102729 Connecticut

Profile Details

NPI number 1699336073
LBN Legal business name Hendrickson, Theodore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 5 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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