Vancott, Theodore E.

Vancott, Theodore E. is an individual health care provider with primary practice located at 1116 N 16Th St Ste A , Lafayette IN 47904-2119. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Vancott, Theodore E. can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1116 N 16Th St Ste A Lafayette IN 47904-2119
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28174732A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004543A Indiana

Profile Details

NPI number 1346686235
LBN Legal business name Vancott, Theodore E.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2013
Last updated Mar 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346686235 NPPES
Indiana MEDICAID 201178620
Indiana Other 000000829362

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