Theobald, Teresa F

Theobald, Teresa F is an individual health care provider with primary practice located at 3308 W Arrowhead Rd , Duluth MN 55811-4000. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Theobald, Teresa F can be contacted via phone (218) 727-6400.

Contact Information

Primary practice address
3308 W Arrowhead Rd Duluth MN 55811-4000
Fax: (218) 464-4277
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2532 Minnesota

Profile Details

NPI number 1902872518
LBN Legal business name Theobald, Teresa F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 24th, 2015 - about 9 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 1902872518 NPPES
Minnesota Other 410036000 RAILROAD MEDICARE
Minnesota Other 6C247TH RAILROAD MEDICARE
Minnesota Other 6C247TH RAILROAD MEDICARE
Minnesota Other 114513 RAILROAD MEDICARE
Minnesota MEDICAID 850527600 RAILROAD MEDICARE
Minnesota Other 897821009672 RAILROAD MEDICARE
Minnesota Other 2207595 RAILROAD MEDICARE
Minnesota Other A62871009672 RAILROAD MEDICARE
Minnesota Other 2203073 RAILROAD MEDICARE

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