Theodorovich, Charles
Theodorovich, Charles is an individual health care provider with primary practice located at 30200 Telegraph Rd Suite 220, Bingham Farms MI 48025-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Theodorovich, Charles can be contacted via phone (248) 258-5058.Contact Information
Primary practice address
30200 Telegraph Rd Suite 220
Bingham Farms MI 48025-4502
Phone: (248) 258-5058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4704101769 | Michigan |
Profile Details
| NPI number | 1710945746 |
|---|---|
| LBN Legal business name | Theodorovich, Charles |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Apr 1st, 2014 - about 10 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 | 1710945746 | NPPES |
| Michigan | Other | P00309996 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 104831359 | RAILROAD MEDICARE |
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