Weltzin, Theodore Eldon
Weltzin, Theodore Eldon is an individual health care provider with primary practice located at 2500 N Mayfair Rd Ste 600 , Wauwatosa WI 53226-1428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Weltzin, Theodore Eldon can be contacted via phone (414) 727-4455.Contact Information
Primary practice address
2500 N Mayfair Rd Ste 600
Wauwatosa WI 53226-1428
Phone: (414) 727-4455
Fax: (414) 727-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35333 | Wisconsin |
Profile Details
| NPI number | 1457343923 |
|---|---|
| LBN Legal business name | Weltzin, Theodore Eldon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 23rd, 2020 - about 6 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 | 1457343923 | NPPES |
| Wisconsin | MEDICAID | 32019500 |
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