Stockwell, Teri L

Stockwell, Teri L is an individual health care provider with primary practice located at 1415 Barclay Cir Se , Marietta GA 30060-2943. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Stockwell, Teri L can be contacted via phone (770) 426-2786.

Contact Information

Primary practice address
1415 Barclay Cir Se Marietta GA 30060-2943
Fax: (770) 792-6113
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301007022 Michigan
Chiropractic Providers / Chiropractor 111N00000X CHIR009030 Georgia

Profile Details

NPI number 1770626681
LBN Legal business name Stockwell, Teri L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Apr 8th, 2021 - about 5 months 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 1770626681 NPPES
Michigan MEDICAID 3144040
Michigan Other G05544
Michigan Other 950B852340
Michigan Other P101464
Michigan Other 950B810180

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