Mulder, Theodorus Johannes
Mulder, Theodorus Johannes is an individual health care provider with primary practice located at 1514 Jefferson Highway , New Orleans LA 70121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Mulder, Theodorus Johannes can be contacted via phone (504) 842-4000.Contact Information
Primary practice address
1514 Jefferson Highway
New Orleans LA 70121
Phone: (504) 842-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 11803R | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD.11803R | Louisiana |
Profile Details
| NPI number | 1982615407 |
|---|---|
| LBN Legal business name | Mulder, Theodorus Johannes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 22nd, 2011 - about 13 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 | 1982615407 | NPPES |
| Louisiana | MEDICAID | 1945846 | |
| Louisiana | MEDICAID | 1480835 | |
| Louisiana | MEDICAID | 00123308 |
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