Waflart, Theodore A

Waflart, Theodore A is an individual health care provider with primary practice located at 800 W 9Th St , Jasper IN 47546-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Waflart, Theodore A can be contacted via phone (812) 481-5750.

Contact Information

Primary practice address
800 W 9Th St Jasper IN 47546-2514
Phone: (812) 481-5750
Fax: (812) 481-5763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 01027456A Indiana

Profile Details

NPI number 1316039498
LBN Legal business name Waflart, Theodore A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jun 23rd, 2010 - about 14 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 1316039498 NPPES
Indiana MEDICAID 10010907A

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