Anderson, Theodore Starbuck
Anderson, Theodore Starbuck is an sole proprietor health care provider with primary practice located at 122 N Elm St Suite 400, Greensboro NC 27401-2878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Theodore Starbuck can be contacted via phone (336) 334-5601.Contact Information
Primary practice address
122 N Elm St Suite 400
Greensboro NC 27401-2878
Phone: (336) 334-5601
Fax: (336) 334-5657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20092 | North Carolina |
Profile Details
| NPI number | 1245354752 |
|---|---|
| LBN Legal business name | Anderson, Theodore Starbuck |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1245354752 | NPPES |
| North Carolina | Other | 11271 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 3403407 | BLUE CROSS BLUE SHIELD |
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