Stathos, Theodore Harry

Stathos, Theodore Harry is an individual health care provider with primary practice located at 9224 Teddy Lane Suite 200, Lone Tree CO 80124-6799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Stathos, Theodore Harry can be contacted via phone (303) 790-1515.

Contact Information

Primary practice address
9224 Teddy Lane Suite 200 Lone Tree CO 80124-6799
Phone: (303) 790-1515
Fax: (303) 790-1989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 33634 Colorado

Profile Details

NPI number 1144265315
LBN Legal business name Stathos, Theodore Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 28th, 2010 - about 15 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 1144265315 NPPES
Colorado Other 04018362 GROUP MEDICAID
Colorado MEDICAID 1144265315 GROUP MEDICAID
Colorado Other 200293420 A GROUP MEDICAID
Colorado MEDICAID 200295450 A GROUP MEDICAID
Colorado Other 33634 GROUP MEDICAID
Colorado Other 109864100 GROUP MEDICAID
Colorado MEDICAID 01336346 GROUP MEDICAID
Colorado Other 1699895755 GROUP MEDICAID
Colorado Other 18498 GROUP MEDICAID
Colorado Other 8301A GROUP MEDICAID
Colorado Other 84127410413 GROUP MEDICAID

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