Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE BASIL JERDES, LMP
ActiveMR. THEODORE BASIL JERDES, LMP is a Specialist healthcare provider located in LACEY, Washington. NPI 1992251201 is currently active in the NPPES registry. Verify at CMS.
Specialist · LACEY, WA
Registration Details
- NPI Number
- 1992251201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2016 (9.9459426424088 yrs)
- Last Updated
- Aug 27, 2016
- License
-
MA 60597586 (WA)
Practice Information
- Address
-
1210 SLEATER KINNEY RD SELACEY, WA, 985032316Browse WA providers · Browse ZIP 98503
- Phone
- 3603524511
- Fax
- 3607544703
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD S GOLDBERG | MD PHD | 1659378941 |
| DR. STEVEN J GORTON | MD | 1609873397 |
| MR. HARRY S GRIFFITH III | MD | 1194722827 |
| DAVID F HORTON | M.D. | 1871570259 |
| RONALD P SMITH | MD | 1740299239 |
| MRS. ANKE ULRIKE GRIMSLEY | LMP | 1871646877 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.