Active NPIIndividual providerSole proprietor

Lori Theiller, PA-C

Physician Assistant in Wantage, New Jersey

NPI Number1700494994
Practice location
36 Moore RD, Wantage, NJ 07461-3707
Fax
—
Last updated
July 14, 2020

Lori Theiller is a Physician Assistant based in Wantage, NJ. Lori Theiller practices in Wantage, NJ and has the professional credentials of PA-C. The NPI Number for Lori Theiller is 1700494994. The current practice location address for Lori Theiller is 36 Moore RD, Wantage, NJ 07461-3707 and can be reached out via phone at 973-459-9996.

Provider Profile Details

NPI Number
1700494994
Provider Name
Lori Theiller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
36 Moore RD, Wantage, NJ 07461-3707
Phone Number
973-459-9996
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2020
Last Update Date
July 14, 2020
Certification Date
July 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Moore RD
Wantage, NJ 07461-3707
Zip
07461-3707
Phone Number
973-459-9996
Wantage, NJ 07461Get directions →

Provider Business Mailing Address Details

Address
36 Moore RD
Wantage, NJ 07461-3707
City
Wantage
State
NJ
Zip
07461-3707
Phone Number
973-459-9996

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lori Theiller, PA-C?

The NPI number of Lori Theiller, PA-C is 1700494994. It was assigned on July 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Lori Theiller, PA-C?

Lori Theiller, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Lori Theiller, PA-C practice?

The practice location is 36 Moore RD, Wantage, NJ 07461-3707. The office can be reached at 973-459-9996 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700494994 directly on the NPPES registry website.

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