Ingis, Theodore Mark
Ingis, Theodore Mark is an sole proprietor health care provider with primary practice located at 46 Daggett Dr , West Springfield MA 01089-4638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ingis, Theodore Mark can be contacted via phone (413) 733-2260.Contact Information
Primary practice address
46 Daggett Dr
West Springfield MA 01089-4638
Phone: (413) 733-2260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 41139 | Massachusetts |
Profile Details
| NPI number | 1316908288 |
|---|---|
| LBN Legal business name | Ingis, Theodore Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Feb 15th, 2016 - about 10 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 | 1316908288 | NPPES |
| Massachusetts | MEDICAID | 2089009 |
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