Pardoe, Theresa Marie
Pardoe, Theresa Marie is an sole proprietor health care provider with primary practice located at 9305 W National Ave , West Allis WI 53227-1541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pardoe, Theresa Marie can be contacted via phone (414) 545-1120.Contact Information
Primary practice address
9305 W National Ave
West Allis WI 53227-1541
Phone: (414) 545-1120
Fax: (414) 545-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29660 | Wisconsin |
Profile Details
| NPI number | 1215981733 |
|---|---|
| LBN Legal business name | Pardoe, Theresa Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Oct 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215981733 | NPPES |
| Wisconsin | MEDICAID | 31462700 |
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