Truitt, Theodore
Truitt, Theodore is an individual health care provider with primary practice located at 1528 Northway Dr , Saint Cloud MN 56303-1255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Truitt, Theodore can be contacted via phone (320) 252-0233.Contact Information
Primary practice address
1528 Northway Dr
Saint Cloud MN 56303-1255
Phone: (320) 252-0233
Fax: (320) 257-1126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 42775 | Minnesota |
Profile Details
| NPI number | 1740240258 |
|---|---|
| LBN Legal business name | Truitt, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Dec 28th, 2021 - about 3 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 | 1740240258 | NPPES |
| Minnesota | MEDICAID | 023625000 |
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