Paul, Theodora E

Paul, Theodora E is an individual health care provider with primary practice located at 13954 W Waddell Rd Suite 307, Surprise AZ 85379-8750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Paul, Theodora E can be contacted via phone (623) 584-0760.

Contact Information

Primary practice address
13954 W Waddell Rd Suite 307 Surprise AZ 85379-8750
Phone: (623) 584-0760
Fax: (623) 546-0344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4324 Arizona

Profile Details

NPI number 1588868103
LBN Legal business name Paul, Theodora E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Apr 27th, 2017 - about 8 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 1588868103 NPPES
Arizona MEDICAID 396843

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