Elkins, Terilea Jennifer

Elkins, Terilea Jennifer is an individual health care provider with primary practice located at 14719 W Grand Ave , Surprise AZ 85374-7203. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Elkins, Terilea Jennifer can be contacted via phone (623) 471-8447.

Contact Information

Primary practice address
14719 W Grand Ave Surprise AZ 85374-7203
Phone: (623) 471-8447
Fax: (623) 213-8523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 31711 Arizona

Profile Details

NPI number 1093377491
LBN Legal business name Elkins, Terilea Jennifer
Credentials MPH, CHES
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2019
Last updated Nov 4th, 2020 - about 6 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 1093377491 NPPES
Arizona MEDICAID 262957251
Arizona Other 262957251

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