Paisley, Theodore S
Paisley, Theodore S is an individual health care provider with primary practice located at 555 Foothill Dr , Salt Lake City UT 84112-1106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Paisley, Theodore S can be contacted via phone (801) 581-8000.Contact Information
Primary practice address
555 Foothill Dr
Salt Lake City UT 84112-1106
Phone: (801) 581-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 4803526-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4803526-1205 | Utah |
Profile Details
| NPI number | 1952415556 |
|---|---|
| LBN Legal business name | Paisley, Theodore S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Nov 10th, 2021 - about 4 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 | 1952415556 | NPPES |
| Utah | Other | P00418797 | RAILROAD MEDICARE |
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