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
Phone: (229) 244-2562
Fax: (229) 249-0000
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528030806 | NPPES |
| Georgia | MEDICAID | 00946668A |
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