Vorenkamp, Theodore A
Vorenkamp, Theodore A is an individual health care provider with primary practice located at 425 Huehl Rd Unit 13, Northbrook IL 60062-2319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Vorenkamp, Theodore A can be contacted via phone (800) 654-3772.Contact Information
Primary practice address
425 Huehl Rd Unit 13
Northbrook IL 60062-2319
Phone: (800) 654-3772
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000535A | Indiana |
Profile Details
NPI number | 1386609717 |
---|---|
LBN Legal business name | Vorenkamp, Theodore A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2006 |
Last updated | May 26th, 2013 - about 12 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 | 1386609717 | NPPES |
Indiana | MEDICAID | 100409860A | |
Indiana | MEDICAID | 100409860D | |
Indiana | Other | 000000089860 | |
Indiana | Other | 0005706081 | |
Indiana | Other | 480014969 |
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