Nuttli, Theresa Jeanne
Nuttli, Theresa Jeanne is an individual health care provider with primary practice located at 520 Ridgewood Dr , Metairie LA 70001-6126. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Nuttli, Theresa Jeanne can be contacted via phone (504) 460-0270.Contact Information
Primary practice address
520 Ridgewood Dr
Metairie LA 70001-6126
Phone: (504) 460-0270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.206812 | Louisiana |
Profile Details
| NPI number | 1346484235 |
|---|---|
| LBN Legal business name | Nuttli, Theresa Jeanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Sep 13th, 2016 - about 10 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 | 1346484235 | NPPES |
| Louisiana | MEDICAID | 1883972 |
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