Male, Theron C
Male, Theron C is an individual health care provider with primary practice located at 1515 W Chester Pike Ste D-2, West Chester PA 19382-7783. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Male, Theron C can be contacted via phone (610) 692-2092.Contact Information
Primary practice address
1515 W Chester Pike Ste D-2
West Chester PA 19382-7783
Phone: (610) 692-2092
Fax: (610) 692-2863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS000850L | Pennsylvania |
Profile Details
| NPI number | 1306817291 |
|---|---|
| LBN Legal business name | Male, Theron C |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 9th, 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 | 1306817291 | NPPES |
| Pennsylvania | MEDICAID | PS000850L |
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