John B. Theobalds & Associate Inc

LBN: John B. Theobalds & Associate Inc
John B. Theobalds & Associate Inc is an health care organization with primary practice located at 3636 16Th St Nw Suite Ag69, Washington DC 20010-1146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. John B. Theobalds & Associate Inc can be contacted via phone (202) 667-8701, or through Theobalds, John B via phone (202) 667-8701.

Contact Information

Primary practice address
3636 16Th St Nw Suite Ag69 Washington DC 20010-1146
Fax: (202) 234-9218
Website:
Authorized official contact:
Name: Theobalds, John B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11684 District of Columbia

Profile Details

NPI number 1548572985
LBN Legal business name John B. Theobalds & Associate Inc
DBA Doing business as
Authorized official Theobalds, John B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2010
Last updated Jul 13th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548572985 NPPES
District of Columbia MEDICAID 025405900
District of Columbia MEDICAID 777791400

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