Teague, Mary F

Teague, Mary F is an individual health care provider with primary practice located at 1235 Osos St Suite 100, San Luis Obispo CA 93401-3600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Teague, Mary F can be contacted via phone (805) 549-0888.

Contact Information

Primary practice address
1235 Osos St Suite 100 San Luis Obispo CA 93401-3600
Phone: (805) 549-0888
Fax: (805) 549-8463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16824 California

Profile Details

NPI number 1598989147
LBN Legal business name Teague, Mary F
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Nov 30th, 2012 - about 14 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 1598989147 NPPES
California Other PA16824 PHYSICIANS ASSISTANT

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