Igwebe, Theodore E

Igwebe, Theodore E is an sole proprietor health care provider with primary practice located at 6327 Morning Dew Ct , Clarksville MD 21029-1150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Igwebe, Theodore E can be contacted via phone (240) 731-4872.

Contact Information

Primary practice address
6327 Morning Dew Ct Clarksville MD 21029-1150
Phone: (240) 731-4872
Fax: (301) 972-2057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D0052927 Maryland

Profile Details

NPI number 1760484281
LBN Legal business name Igwebe, Theodore E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Aug 2nd, 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 1760484281 NPPES
Maryland Other 0J43 BCBSMD
Maryland Other 110178865 BCBSMD
Maryland MEDICAID 203803000 BCBSMD
Maryland Other 4483 BCBSMD

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