Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35050489 | OH |
Y | 111NI0900X | Internist | 35050489 | OH |
NPI | 1003800145 |
---|---|
Provider Name | Theodore J. Ware |
First Address | Toledo, OH 43608-2625 |
Second Address | Toledo, OH 43608-2625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 04/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0576658 | (05) | OH |
A16187 | (02) | OH |