Individual
DR. THEODORE JOHN SIKORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 JAKE ALEXANDER BLVD W, SUITE G #148, SALISBURY, NC 28147-1225
(504) 903-3549
Mailing address
1039 S DEVON PARK PL, SALISBURY, NC 28147-7167
(504) 669-7197
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
179921
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505927
—
LA
01
—
NC6921I
MEDICARE PTAN
NC
01
—
NC6921J
MEDICARE PTAN
NC
Enumeration date
10/01/2007
Last updated
12/04/2016
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