Olfson, Theresa M
Olfson, Theresa M is an individual health care provider with primary practice located at 1105 Central Expy N , Allen TX 75013-6103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Olfson, Theresa M can be contacted via phone (972) 747-6552.Contact Information
Primary practice address
1105 Central Expy N
Allen TX 75013-6103
Phone: (972) 747-6552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K6199 | Texas |
Profile Details
| NPI number | 1578500054 |
|---|---|
| LBN Legal business name | Olfson, Theresa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Feb 11th, 2008 - about 18 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 | 1578500054 | NPPES |
| Texas | MEDICAID | 030149101 | |
| Texas | Other | 0061DB |
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