Iheanacho, Theddeus
Iheanacho, Theddeus is an sole proprietor health care provider with primary practice located at 203 Broad St Suite C-4, Milford CT 06460-4751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Iheanacho, Theddeus can be contacted via phone (203) 874-0593.Contact Information
Primary practice address
203 Broad St Suite C-4
Milford CT 06460-4751
Phone: (203) 874-0593
Fax: (203) 877-8053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 258158 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 49777 | Connecticut |
Profile Details
| NPI number | 1922312503 |
|---|---|
| LBN Legal business name | Iheanacho, Theddeus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Jul 16th, 2012 - about 12 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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