Fetty, Teresa Lynn

Fetty, Teresa Lynn is an individual health care provider with primary practice located at 1870 Swauger Vally Road , Portsmouth OH 45662. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fetty, Teresa Lynn can be contacted via phone (740) 776-0314.

Contact Information

Primary practice address
1870 Swauger Vally Road Portsmouth OH 45662
Phone: (740) 776-0314
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1922216696
LBN Legal business name Fetty, Teresa Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 19 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 1922216696 NPPES
Ohio MEDICAID 2176023

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