Newman, Theodore W
Newman, Theodore W is an individual health care provider with primary practice located at 504 S 4Th St , Hartsville SC 29550-5720. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Newman, Theodore W can be contacted via phone (843) 332-7171.Contact Information
Primary practice address
504 S 4Th St
Hartsville SC 29550-5720
Phone: (843) 332-7171
Fax: (843) 332-7802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 668 | South Carolina |
Profile Details
| NPI number | 1225078983 |
|---|---|
| LBN Legal business name | Newman, Theodore W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Dec 11th, 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 | 1225078983 | NPPES |
| South Carolina | MEDICAID | 459665 |
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