Oldham, Teresa Ann

Oldham, Teresa Ann is an individual health care provider with primary practice located at 2425 Milo B. Sampson Lane , Bloomington IN 47408-1398. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Oldham, Teresa Ann can be contacted via phone (812) 349-5074.

Contact Information

Primary practice address
2425 Milo B. Sampson Lane Bloomington IN 47408-1398
Phone: (812) 349-5074
Fax: (812) 349-5130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01062429A Indiana

Profile Details

NPI number 1841335874
LBN Legal business name Oldham, Teresa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 30th, 2023 - about 3 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 1841335874 NPPES
Indiana Other 000000561415 ANTHEM BCBS
Indiana MEDICAID 200894620 ANTHEM BCBS

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