Koerner, Theodore G
Koerner, Theodore G is an individual health care provider with primary practice located at 4911 Black Horse Pike (Rt 42) , Turnersville NJ 08012-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koerner, Theodore G can be contacted via phone (856) 227-7048.Contact Information
Primary practice address
4911 Black Horse Pike (Rt 42)
Turnersville NJ 08012-1730
Phone: (856) 227-7048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB031874 | New Jersey |
Profile Details
| NPI number | 1245225366 |
|---|---|
| LBN Legal business name | Koerner, Theodore G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| 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 | 1245225366 | NPPES |
| New Jersey | Other | 0073996001 | AMERIHEALTH NJ |
| New Jersey | Other | 5433019 | AMERIHEALTH NJ |
| New Jersey | MEDICAID | 2191105 | AMERIHEALTH NJ |
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