Ross, Theodore
Ross, Theodore is an individual health care provider with primary practice located at 6010 Bond Ave , East Saint Louis IL 62207-2328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ross, Theodore can be contacted via phone (618) 337-8153.Contact Information
Primary practice address
6010 Bond Ave
East Saint Louis IL 62207-2328
Phone: (618) 337-8153
Fax: (618) 337-8905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036075238 | Illinois |
Profile Details
| NPI number | 1285720508 |
|---|---|
| LBN Legal business name | Ross, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 24th, 2021 - about 3 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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