Teacher, Theodore M

Teacher, Theodore M is an individual health care provider with primary practice located at 26691 Plaza Suite 235, Mission Viejo CA 92691-6329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Teacher, Theodore M can be contacted via phone (949) 364-9054.

Contact Information

Primary practice address
26691 Plaza Suite 235 Mission Viejo CA 92691-6329
Phone: (949) 364-9054
Fax: (949) 364-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G45898 California

Profile Details

NPI number 1871514729
LBN Legal business name Teacher, Theodore M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Jan 30th, 2024 - about 8 months 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 1871514729 NPPES
California Other ZZZ57376Z BLUE SHIELD

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