ELLEN THEOBALD
RIVERSIDE, 925076000

ELLEN THEOBALD is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1962576223. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7618284761. The primary specialty is . The organization is . The address is 5015 CANYON CREST DR, , RIVERSIDE, CA, 925076000. The zip code is 925076000.


ELLEN THEOBALD - RIVERSIDE, 925076000


Nation Provider ID1962576223
PAC ID by PECOS7618284761
Professional Enrollment IDI20150922001734
NameELLEN THEOBALD
Medical School NameOTHER
Graduation Year1985
Primary Specialty
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address5015 CANYON CREST DR, , RIVERSIDE, CA, 925076000
Hospital affiliation LBN
Contact Number9512015749
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]

Location on Map - 5015 CANYON CREST DR, , RIVERSIDE, CA, 925076000

FAQ - ELLEN THEOBALD

1. What is Nation Provider ID of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Nation Provider ID is 1962576223.


1. What is PAC ID by PECOS of ELLEN THEOBALD?
Ans: ELLEN THEOBALD PAC ID by PECOS is 7618284761.


1. What is Professional Enrollment ID of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Professional Enrollment ID is I20150922001734.


1. What is Medical School Name of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Medical School Name is OTHER.


1. What is Graduation Year of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Graduation Year is 1985.


1. What is Primary Specialty of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Primary Specialty is .


3. What is All secondary specialties of ELLEN THEOBALD?
Ans: ELLEN THEOBALD All secondary specialties is .


4. What is Organization Name of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Organization Name is .


5. What is Group Practice PAC ID of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Group Practice PAC ID is .


6. What is Number of Group Practice members of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Number of Group Practice members is 0.


2. Where is ELLEN THEOBALD located?
Ans: ELLEN THEOBALD located at 5015 CANYON CREST DR, , RIVERSIDE, CA, 925076000.


7. What is Hospital affiliation LBN of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Hospital affiliation LBN is .


7. What is Contact Number of ELLEN THEOBALD?
Ans: ELLEN THEOBALD Contact Number is 9512015749.


9. What is email address of ELLEN THEOBALD?
Ans: ELLEN THEOBALD email address is [Show_Email_ID].


10. What is phone number of ELLEN THEOBALD?
Ans: ELLEN THEOBALD phone number is [Show_Phone].


11. What is website of ELLEN THEOBALD?
Ans: ELLEN THEOBALD website is [Show_Website].

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Disclaimer: Information about ELLEN THEOBALD maybe populated and aggregated from various sources. We provided these information on our directory for your information and references only, and may have changed since we last updated. The data about ELLEN THEOBALD is last updated on 2017-05-28.