Theodore, Nicholas

Theodore, Nicholas is an individual health care provider with primary practice located at 600 N Wolfe St Meyer 7109, Baltimore MD 21287-0005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Theodore, Nicholas can be contacted via phone (410) 955-4424.

Contact Information

Primary practice address
600 N Wolfe St Meyer 7109 Baltimore MD 21287-0005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X D81128 Maryland

Profile Details

NPI number 1982699567
LBN Legal business name Theodore, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 7th, 2016 - about 8 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 1982699567 NPPES
Arizona MEDICAID 738693

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