Hostetler, Theodore G
Hostetler, Theodore G is an individual health care provider with primary practice located at 703 N A St , Oxnard CA 93030-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Hostetler, Theodore G can be contacted via phone (805) 485-2340.Contact Information
Primary practice address
703 N A St
Oxnard CA 93030-4309
Phone: (805) 485-2340
Fax: (805) 485-1429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | C21280 | California |
Profile Details
| NPI number | 1265423859 |
|---|---|
| LBN Legal business name | Hostetler, Theodore G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 27th, 2008 - about 18 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 | 1265423859 | NPPES |
| California | Other | ZZZ80185Z | MEDICAID GROUP # |
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