Allen, Teresa C

Allen, Teresa C is an sole proprietor health care provider with primary practice located at 3211 W Wapato Dr Unit 61 , Moses Lake WA 98837-4507. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Allen, Teresa C can be contacted via phone (509) 361-3969.

Contact Information

Primary practice address
3211 W Wapato Dr Unit 61 Moses Lake WA 98837-4507
Phone: (509) 361-3969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00022911 Washington

Profile Details

NPI number 1639491889
LBN Legal business name Allen, Teresa C
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2010
Last updated Aug 8th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639491889 NPPES
Washington Other MA00022911 WASHINGTON STATE HEALTH DEPARTMENT

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