Rais, Theodor B

Rais, Theodor B is an individual health care provider with primary practice located at 3130 Glendale Ave Kobacker Center, Toledo OH 43614-5811. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Rais, Theodor B can be contacted via phone (419) 383-3815.

Contact Information

Primary practice address
3130 Glendale Ave Kobacker Center Toledo OH 43614-5811
Phone: (419) 383-3815
Fax: (419) 383-3098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 35076784 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35076784 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35076784 Ohio

Profile Details

NPI number 1831184720
LBN Legal business name Rais, Theodor B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Oct 13th, 2008 - about 16 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 1831184720 NPPES
Ohio MEDICAID 2144183

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