Theodore Hendrickson, - Nurse Practitioner in Fairfield, CT

Theodore Hendrickson, is a Nurse Practitioner - Psychiatric/mental Health based in Fairfield, Connecticut. Theodore Hendrickson is licensed to practice in Connecticut (license number 102729) and his current practice location is 43 Robert Ln, Fairfield, Connecticut. He can be reached at his office (for appointments etc.) via phone at (203) 209-2180.

NPI number for Theodore Hendrickson is 1699336073 and his current mailing address is 43 Robert Ln, Fairfield, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699336073.

Contact Information

Theodore Hendrickson,
43 Robert Ln,
Fairfield, CT 06824-2918
(203) 209-2180
Not Available

Map and Direction




Provider's Profile

Full NameTheodore Hendrickson
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location43 Robert Ln, Fairfield, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699336073
  • Provider Enumeration Date: 06/26/2019
  • Last Update Date: 06/26/2019

Medical Identifiers

Medical identifiers for Theodore Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699336073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 102729 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Hendrickson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore Hendrickson,
43 Robert Ln,
Fairfield, CT 06824-2918

Ph: (203) 209-2180
Theodore Hendrickson,
43 Robert Ln,
Fairfield, CT 06824-2918

Ph: (203) 209-2180

Reviews and Comments


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