Fifer, Theodore D.

Fifer, Theodore D. is an sole proprietor health care provider with primary practice located at 14900 N Court 9 , Effingham IL 62401-7640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Fifer, Theodore D. can be contacted via phone (217) 994-6162.

Contact Information

Primary practice address
14900 N Court 9 Effingham IL 62401-7640
Phone: (217) 994-6162
Fax: (217) 342-7094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 036084136 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036084136 Illinois

Profile Details

NPI number 1508034596
LBN Legal business name Fifer, Theodore D.
Credentials M.D. FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2008
Last updated Dec 12th, 2012 - about 14 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 1508034596 NPPES
Illinois MEDICAID 036-084136
Illinois Other 025-00076

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