Miclau, Theodore

Miclau, Theodore is an individual health care provider with primary practice located at 2550 23Rd St Bldg 9 2Nd Floor, San Francisco CA 94110-3504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miclau, Theodore can be contacted via phone (415) 206-8812.

Contact Information

Primary practice address
2550 23Rd St Bldg 9 2Nd Floor San Francisco CA 94110-3504
Phone: (415) 206-8812
Fax: (415) 647-3733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G81843 California

Profile Details

NPI number 1134173537
LBN Legal business name Miclau, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 9th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134173537 NPPES
California MEDICAID 00G818430
California Other 110150231

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