Ende, Theodore
Ende, Theodore is an sole proprietor health care provider with primary practice located at 422 West Lacey Road , Forked River NJ 08731-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ende, Theodore can be contacted via phone (609) 693-1992.Contact Information
Primary practice address
422 West Lacey Road
Forked River NJ 08731-2518
Phone: (609) 693-1992
Fax: (609) 971-3199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB03165000 | New Jersey |
Profile Details
| NPI number | 1093722480 |
|---|---|
| LBN Legal business name | Ende, Theodore |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 18th, 2019 - about 7 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 | 1093722480 | NPPES |
| New Jersey | MEDICAID | 0659703 |
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