Teal, Stewart Edward

Teal, Stewart Edward is an sole proprietor health care provider with primary practice located at 811 Grand Ave Ste D , Sacramento CA 95838-3466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Teal, Stewart Edward can be contacted via phone (916) 922-9868.

Contact Information

Primary practice address
811 Grand Ave Ste D Sacramento CA 95838-3466
Phone: (916) 922-9868
Fax: (916) 922-7342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X C30919 Michigan

Profile Details

NPI number 1902809460
LBN Legal business name Teal, Stewart Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Sep 27th, 2013 - about 12 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 1902809460 NPPES
California Other 005583-000 MAGELLAN

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