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
Phone: (415) 353-9888
Fax: (415) 885-3586
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811952054 | NPPES |
| California | MEDICAID | 00A867000 |
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