Teall, Alice M.

Teall, Alice M. is an individual health care provider with primary practice located at 204 Patrick Ave , Urbana OH 43078-2302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Teall, Alice M. can be contacted via phone (937) 484-6181.

Contact Information

Primary practice address
204 Patrick Ave Urbana OH 43078-2302
Phone: (937) 484-6181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X FNP 0346682-22 Ohio

Profile Details

NPI number 1487720157
LBN Legal business name Teall, Alice M.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Oct 13th, 2014 - 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 1487720157 NPPES
Ohio MEDICAID 2477207

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