Price, Theresa Regina
Price, Theresa Regina is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Price, Theresa Regina can be contacted via phone (315) 772-2778.Contact Information
Primary practice address
11050 Mount Belvedere Blvd
Fort Drum NY 13602-5438
Phone: (315) 772-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0102206265 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0102206265 | Virginia |
Profile Details
| NPI number | 1649739129 |
|---|---|
| LBN Legal business name | Price, Theresa Regina |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2019 |
| Last updated | Aug 10th, 2022 - about 4 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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