Duncan, Theodore A
Duncan, Theodore A is an individual health care provider with primary practice located at 1600 Haddon Ave , Camden NJ 08103-3101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Duncan, Theodore A can be contacted via phone (856) 757-3836.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 26NO12190600 | New Jersey |
Profile Details
| NPI number | 1689848681 |
|---|---|
| LBN Legal business name | Duncan, Theodore A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689848681 | NPPES |
| New Jersey | Other | 222041639 | TAX ID |
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