Lillehei, Theodore J
Lillehei, Theodore J is an individual health care provider with primary practice located at 280 Smith Ave N Ste 311 , Saint Paul MN 55102-2465. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lillehei, Theodore J can be contacted via phone (651) 330-3656.Contact Information
Primary practice address
280 Smith Ave N Ste 311
Saint Paul MN 55102-2465
Phone: (651) 330-3656
Fax: (651) 340-1160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 29143 | Minnesota |
Profile Details
| NPI number | 1619941499 |
|---|---|
| LBN Legal business name | Lillehei, Theodore J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Feb 28th, 2014 - 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 | 1619941499 | NPPES |
| Minnesota | MEDICAID | 626878100 |
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