Polk, Teresa
Polk, Teresa is an individual health care provider with primary practice located at 811 Highway 49 South , Richland MS 39218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Polk, Teresa can be contacted via phone (601) 932-5060.Contact Information
Primary practice address
811 Highway 49 South
Richland MS 39218
Phone: (601) 932-5060
Fax: (601) 932-5062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R694061 | Mississippi |
Profile Details
| NPI number | 1487801338 |
|---|---|
| LBN Legal business name | Polk, Teresa |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2008 |
| Last updated | Jun 13th, 2014 - about 12 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 | 1487801338 | NPPES |
| Mississippi | MEDICAID | 00117759 |
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