Provider Demographics
NPI:1518408905
Name:ABBEY, THEOPHILUS ANERTEY
Entity Type:Individual
Prefix:MR
First Name:THEOPHILUS
Middle Name:ANERTEY
Last Name:ABBEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 S DUQUESNE CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6102
Mailing Address - Country:US
Mailing Address - Phone:720-212-4306
Mailing Address - Fax:
Practice Address - Street 1:1212 S DUQUESNE CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6102
Practice Address - Country:US
Practice Address - Phone:720-212-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker