Teberg, Ted N

Teberg, Ted N is an individual health care provider with primary practice located at 204 South Pine Street , Burlington WI 53105. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Teberg, Ted N can be contacted via phone (262) 767-9579.

Contact Information

Primary practice address
204 South Pine Street Burlington WI 53105
Phone: (262) 767-9579
Fax: (262) 767-9610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4607024 Wisconsin

Profile Details

NPI number 1477511509
LBN Legal business name Teberg, Ted N
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 27th, 2016 - about 10 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 1477511509 NPPES
Wisconsin MEDICAID 40391100

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