Theobald, Geoffrey J

Theobald, Geoffrey J is an individual health care provider with primary practice located at 1000 W 140Th St Suite 201, Burnsville MN 55337-4480. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Theobald, Geoffrey J can be contacted via phone (952) 898-6300.

Contact Information

Primary practice address
1000 W 140Th St Suite 201 Burnsville MN 55337-4480
Phone: (952) 898-6300
Fax: (952) 898-6035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003 Minnesota

Profile Details

NPI number 1780642082
LBN Legal business name Theobald, Geoffrey J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 15th, 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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