Burdumy, Theodore J

Burdumy, Theodore J is an sole proprietor health care provider with primary practice located at 1400E Church Street , Santa Maria CA 93454-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Burdumy, Theodore J can be contacted via phone (805) 739-3100.

Contact Information

Primary practice address
1400E Church Street Santa Maria CA 93454-5906
Phone: (805) 739-3100
Fax: (805) 739-3060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G42096 California

Profile Details

NPI number 1679569891
LBN Legal business name Burdumy, Theodore J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Feb 6th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679569891 NPPES
California MEDICAID 00G420960

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