Theodore, Sharon M

Theodore, Sharon M is an individual health care provider with primary practice located at 300 James Way Ste 150 , Pismo Beach CA 93449-2874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Theodore, Sharon M can be contacted via phone (805) 876-3050.

Contact Information

Primary practice address
300 James Way Ste 150 Pismo Beach CA 93449-2874
Fax: (805) 876-3052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A91327 California

Profile Details

NPI number 1831145739
LBN Legal business name Theodore, Sharon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 16th, 2022 - about 4 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 1831145739 NPPES
California MEDICAID 00 A913270

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