Mengesha, Theodros

Mengesha, Theodros is an individual health care provider with primary practice located at 8484 Wann Dr Nw Ste A , Madison AL 35758-9545. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mengesha, Theodros can be contacted via phone (256) 963-9444.

Contact Information

Primary practice address
8484 Wann Dr Nw Ste A Madison AL 35758-9545
Phone: (256) 963-9444
Fax: (256) 963-9446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28347 Alabama
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 28347 Alabama

Profile Details

NPI number 1184771909
LBN Legal business name Mengesha, Theodros
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Apr 17th, 2024 - about 2 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.

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