Mollerud, Theodore E

Mollerud, Theodore E is an individual health care provider with primary practice located at 2215 E Clairemont Ave Suite 2, Eau Claire WI 54701-4772. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Mollerud, Theodore E can be contacted via phone (715) 831-0289.

Contact Information

Primary practice address
2215 E Clairemont Ave Suite 2 Eau Claire WI 54701-4772
Phone: (715) 831-0289
Fax: (715) 831-4722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 30-156 Wisconsin

Profile Details

NPI number 1770539827
LBN Legal business name Mollerud, Theodore E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Aug 24th, 2021 - about 3 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 1770539827 NPPES
Wisconsin MEDICAID 42813100

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