THEO WHOLESALE LLC; NPI #1457210825

Contact Information

THEO WHOLESALE LLC

30 N GOULD ST STE N
SHERIDAN, WY 82801-6317

Phone: 208-892-9780
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Research	261QR1100X

Indicates primary specialty

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NPI Profile & details for THEO WHOLESALE LLC

NPI Number	`1457210825`
LBN Legal business name	THEO WHOLESALE LLC
Authorized official	THEODORE BECKER - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/20/2026
Last updated	01/20/2026 - About 5 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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