Treibick, Theodore
Treibick, Theodore is an sole proprietor health care provider with primary practice located at 101 Cambridge St Ste 100 , Burlington MA 01803-3769. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Treibick, Theodore can be contacted via phone (781) 272-9500.Contact Information
Primary practice address
101 Cambridge St Ste 100
Burlington MA 01803-3769
Phone: (781) 272-9500
Fax: (855) 870-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 46320 | Massachusetts |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 46320 | Massachusetts |
Profile Details
| NPI number | 1609920776 |
|---|---|
| LBN Legal business name | Treibick, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Mar 20th, 2023 - about 2 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 | 1609920776 | NPPES |
| Massachusetts | MEDICAID | 110002031 | |
| Massachusetts | Other | 1609920776 | |
| Massachusetts | Other | 703314 | |
| Massachusetts | Other | 70010000B12009 |
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