Shoaf, Theodore Weber

Shoaf, Theodore Weber is an sole proprietor health care provider with primary practice located at 3405 S Winding Trail Dr , Jackson WY 83001-9257. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Shoaf, Theodore Weber can be contacted via phone (307) 699-2685.

Contact Information

Primary practice address
3405 S Winding Trail Dr Jackson WY 83001-9257
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1598134256
LBN Legal business name Shoaf, Theodore Weber
Credentials MASTERS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 2015 - about 10 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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