Jusko, Teresa L

Jusko, Teresa L is an individual health care provider with primary practice located at 2420 Lake Ave , Ashtabula OH 44004-4954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Jusko, Teresa L can be contacted via phone (440) 997-2262.

Contact Information

Primary practice address
2420 Lake Ave Ashtabula OH 44004-4954
Phone: (440) 997-2262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67000065 Ohio

Profile Details

NPI number 1568457075
LBN Legal business name Jusko, Teresa L
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 5th, 2024 - about 2 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 1568457075 NPPES
Ohio MEDICAID 2265730

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