Christopher, Theodora

Christopher, Theodora is an sole proprietor health care provider with primary practice located at 1 Water St , Haverhill MA 01830-6221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Christopher, Theodora can be contacted via phone (978) 374-0525.

Contact Information

Primary practice address
1 Water St Haverhill MA 01830-6221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52034 Massachusetts

Profile Details

NPI number 1427092576
LBN Legal business name Christopher, Theodora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Dec 11th, 2009 - about 17 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 1427092576 NPPES
Massachusetts MEDICAID 3008339

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