Theodoran, Chris G

Theodoran, Chris G is an individual health care provider with primary practice located at 2106 Harrisburg Pike Suite 200, Lancaster PA 17601-2644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Theodoran, Chris G can be contacted via phone (717) 393-1771.

Contact Information

Primary practice address
2106 Harrisburg Pike Suite 200 Lancaster PA 17601-2644
Phone: (717) 393-1771
Fax: (717) 393-2782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X OS005449L Pennsylvania

Profile Details

NPI number 1770566382
LBN Legal business name Theodoran, Chris G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 21st, 2007 - about 17 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 1770566382 NPPES
Pennsylvania MEDICAID 001090835/0002

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