Gaylor, Theodore H
Gaylor, Theodore H is an sole proprietor health care provider with primary practice located at 1251 S Cedar Crest Blvd #110, Allentown PA 18103-6205. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gaylor, Theodore H can be contacted via phone (610) 770-9797.Contact Information
Primary practice address
1251 S Cedar Crest Blvd #110
Allentown PA 18103-6205
Phone: (610) 770-9797
Fax: (610) 770-9521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD022099E | Pennsylvania |
Profile Details
| NPI number | 1760464721 |
|---|---|
| LBN Legal business name | Gaylor, Theodore H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Sep 16th, 2010 - about 16 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 | 1760464721 | NPPES |
| Pennsylvania | Other | 02348200 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 0549870 | CAPITAL BLUE CROSS |
| Pennsylvania | MEDICAID | 00640920 | CAPITAL BLUE CROSS |
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