Theodorou, Anastasia
Theodorou, Anastasia is an sole proprietor health care provider with primary practice located at 19111 Detroit Rd Ste 204 , Rocky River OH 44116-1740. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Theodorou, Anastasia can be contacted via phone (440) 356-1000.Contact Information
Primary practice address
19111 Detroit Rd Ste 204
Rocky River OH 44116-1740
Phone: (440) 356-1000
Fax: (440) 356-2090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3712 | Maine |
Profile Details
| NPI number | 1407958960 |
|---|---|
| LBN Legal business name | Theodorou, Anastasia |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Aug 17th, 2020 - about 5 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 | 1407958960 | NPPES |
| Ohio | MEDICAID | 0402338 |
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