Mandelkorn, Theodore Dungan

Mandelkorn, Theodore Dungan is an sole proprietor health care provider with primary practice located at 2553 76Th Ave Se , Mercer Island WA 98040-2758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Mandelkorn, Theodore Dungan can be contacted via phone (206) 275-0702.

Contact Information

Primary practice address
2553 76Th Ave Se Mercer Island WA 98040-2758
Phone: (206) 275-0702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD00010762 Washington

Profile Details

NPI number 1922167220
LBN Legal business name Mandelkorn, Theodore Dungan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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