Van Dam, Theodore Richard
Van Dam, Theodore Richard is an sole proprietor health care provider with primary practice located at 665 Camino De Los Mares 210, San Clemente CA 92673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Van Dam, Theodore Richard can be contacted via phone (949) 240-6772.Contact Information
Primary practice address
665 Camino De Los Mares 210
San Clemente CA 92673
Phone: (949) 240-6772
Fax: (949) 240-6841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A24788 | California |
Profile Details
| NPI number | 1871527226 |
|---|---|
| LBN Legal business name | Van Dam, Theodore Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
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