Rehg, Theresa Lynn

Rehg, Theresa Lynn is an individual health care provider with primary practice located at 1400 Us Highway 61 Ste 210 , Festus MO 63028-4141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rehg, Theresa Lynn can be contacted via phone (636) 933-8880.

Contact Information

Primary practice address
1400 Us Highway 61 Ste 210 Festus MO 63028-4141
Phone: (636) 933-8880
Fax: (636) 933-8881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2017026643 Missouri

Profile Details

NPI number 1760907414
LBN Legal business name Rehg, Theresa Lynn
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2017
Last updated Oct 10th, 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 1760907414 NPPES
Missouri MEDICAID 420048073

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