Schock, Theodore K
Schock, Theodore K is an individual health care provider with primary practice located at 63 W Gibson St , Hartwell GA 30643-1845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schock, Theodore K can be contacted via phone (706) 376-6100.Contact Information
Primary practice address
63 W Gibson St
Hartwell GA 30643-1845
Phone: (706) 376-6100
Fax: (706) 376-3394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 030882 | Georgia |
Profile Details
| NPI number | 1023179090 |
|---|---|
| LBN Legal business name | Schock, Theodore K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Aug 6th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023179090 | NPPES |
| Georgia | MEDICAID | 000373117E |
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