Individual
DR. THEODORE T LE
Active
Individual
DR. THEODORE T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35069653
OH
207XX0801X
Orthopaedic Trauma Physician
35-069653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200487630
—
IN
05
—
2132883
—
OH
05
—
64084940
—
KY
01
—
P00143209
RAILROOAD MEDICARE
OH
Enumeration date
05/05/2006
Last updated
12/05/2017
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