Space, Thereasa

Space, Thereasa is an sole proprietor health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321-2901. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, which is considered as her primary health care specialty. Space, Thereasa can be contacted via phone (219) 703-1784.

Contact Information

Primary practice address
901 Macarthur Blvd Munster IN 46321-2901
Phone: (219) 703-1784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X

Profile Details

NPI number 1710604863
LBN Legal business name Space, Thereasa
Credentials PA(ASCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2022
Last updated Oct 19th, 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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