Clor, Theresa E

Clor, Theresa E is an individual health care provider with primary practice located at 6900 Forest Ave Suite 310, Richmond VA 23230-1729. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clor, Theresa E can be contacted via phone (804) 249-8888.

Contact Information

Primary practice address
6900 Forest Ave Suite 310 Richmond VA 23230-1729
Phone: (804) 249-8888
Fax: (804) 249-7246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17001722 Virginia

Profile Details

NPI number 1972561694
LBN Legal business name Clor, Theresa E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 14th, 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 1972561694 NPPES
Virginia Other 54-1739189 FED TAX ID
Virginia MEDICAID 10125618 FED TAX ID

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