Timothy A Theobald in Sanford - Family Medicine
Timothy A Theobald - NPI 1104895648
Timothy A Theobald is a Family Medicine in Sanford, Maine. Timothy A Theobald practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy A Theobald is 1104895648. The last update date is 2019-04-01.
Timothy A Theobald's current location address is 25a June St Ste 111, Sanford, Maine. You can contact this provider via phone number 2074907998. The mailing address for Timothy A Theobald is 25a June St Ste 111, Sanford, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy A Theobald |
|---|---|
| Address | 25a June St Ste 111, Sanford, Maine |
| Phone Number | 2074907998 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1104895648 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2019-04-01 |
Provider Mailing Address Detail
| Address | 25a June St Ste 111 |
|---|---|
| City | Sanford |
| State | Maine (ME) |
| Post Code | 40732642 |
| Phone Number | 2074907998 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1523 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280450099 | ME | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy A Theobald?
The Timothy A Theobald has been issued the NPI (National Provider Identifier) 1104895648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Timothy A Theobald's physical address?
The Timothy A Theobald is physically located at 25A June St Ste 111, in the city of Sanford, ME, with the postal code 40732642.
What is the Timothy A Theobald's area of specialization and corresponding taxonomy classification?
The Timothy A Theobald's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Timothy A Theobald receive the assignment of its 1104895648 from the Centers for Medicare & Medicaid Services?
The Timothy A Theobald was issued its 1104895648 by the Centers for Medicare & Medicaid Services on 2006-03-16.
As of what date was the information pertaining to Timothy A Theobald, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy A Theobald, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-04-01.
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