Probst, Theodore G

Probst, Theodore G is an individual health care provider with primary practice located at 1515 S Osprey Ave Suite 1-A, Sarasota FL 34239-2939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Probst, Theodore G can be contacted via phone (941) 917-7197.

Contact Information

Primary practice address
1515 S Osprey Ave Suite 1-A Sarasota FL 34239-2939
Phone: (941) 917-7197
Fax: (941) 917-4016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME0031620 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME31620 Florida

Profile Details

NPI number 1538127154
LBN Legal business name Probst, Theodore G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 9th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538127154 NPPES
Florida Other 79310 BCBS
Florida MEDICAID 266213200 BCBS

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