Heringhaus, Theresa Deogracis
Heringhaus, Theresa Deogracis is an individual health care provider with primary practice located at 480 Glessner Ave , Mansfield OH 44903-2056. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Heringhaus, Theresa Deogracis can be contacted via phone (419) 524-7409.Contact Information
Primary practice address
480 Glessner Ave
Mansfield OH 44903-2056
Phone: (419) 524-7409
Fax: (419) 526-3870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18764 | Ohio |
Profile Details
| NPI number | 1437137858 |
|---|---|
| LBN Legal business name | Heringhaus, Theresa Deogracis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437137858 | NPPES |
| Ohio | MEDICAID | 2368736 |
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