Theodore, Pierre R

Theodore, Pierre R is an individual health care provider with primary practice located at 1600 Divisadero St , San Francisco CA 94143-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Theodore, Pierre R can be contacted via phone (415) 353-9888.

Contact Information

Primary practice address
1600 Divisadero St San Francisco CA 94143-0001
Fax: (415) 885-3586
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A86700 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A86700 California

Profile Details

NPI number 1811952054
LBN Legal business name Theodore, Pierre R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 22nd, 2008 - about 16 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 1811952054 NPPES
California MEDICAID 00A867000

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