Theophilus, Donald L

Theophilus, Donald L is an individual health care provider with primary practice located at 1105 S 13Th St , Norfolk NE 68701-5767. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Theophilus, Donald L can be contacted via phone (402) 371-1360.

Contact Information

Primary practice address
1105 S 13Th St Norfolk NE 68701-5767
Phone: (402) 371-1360
Fax: (402) 371-1278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3996 Nebraska

Profile Details

NPI number 1174694780
LBN Legal business name Theophilus, Donald L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174694780 NPPES
Nebraska Other 05839 BCBS

Popular Providers