Kanne, Theodore J

Kanne, Theodore J is an individual health care provider with primary practice located at 2910 N Patterson St , Valdosta GA 31602-1720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kanne, Theodore J can be contacted via phone (229) 244-2562.

Contact Information

Primary practice address
2910 N Patterson St Valdosta GA 31602-1720
Fax: (229) 249-0000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 050967 Georgia

Profile Details

NPI number 1528030806
LBN Legal business name Kanne, Theodore J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528030806 NPPES
Georgia MEDICAID 00946668A

Popular Providers