Truitt, Theodore

Truitt, Theodore is an individual health care provider with primary practice located at 1528 Northway Dr , Saint Cloud MN 56303-1255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Truitt, Theodore can be contacted via phone (320) 252-0233.

Contact Information

Primary practice address
1528 Northway Dr Saint Cloud MN 56303-1255
Phone: (320) 252-0233
Fax: (320) 257-1126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 42775 Minnesota

Profile Details

NPI number 1740240258
LBN Legal business name Truitt, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 28th, 2021 - about 5 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 1740240258 NPPES
Minnesota MEDICAID 023625000

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