Nyquist, Theodore Thorsten
Nyquist, Theodore Thorsten is an individual health care provider with primary practice located at 2163 Nw 2Nd Street , Mcminnville OR 97128-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nyquist, Theodore Thorsten can be contacted via phone (503) 472-4197.Contact Information
Primary practice address
2163 Nw 2Nd Street
Mcminnville OR 97128-9108
Phone: (503) 472-4197
Fax: (503) 434-2886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18091 | Oregon |
Profile Details
| NPI number | 1609972926 |
|---|---|
| LBN Legal business name | Nyquist, Theodore Thorsten |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 18th, 2011 - about 14 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 | 1609972926 | NPPES |
| Oregon | MEDICAID | 056221 |
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