Teehan, Tresa A
Teehan, Tresa A is an individual health care provider with primary practice located at 601 Reed Ave , Manitowoc WI 54221-1270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Teehan, Tresa A can be contacted via phone (920) 682-8841.Contact Information
Primary practice address
601 Reed Ave
Manitowoc WI 54221-1270
Phone: (920) 682-8841
Fax: (920) 686-5250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39165 | Wisconsin |
Profile Details
| NPI number | 1144337247 |
|---|---|
| LBN Legal business name | Teehan, Tresa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144337247 | NPPES |
| Wisconsin | MEDICAID | 32565000 |
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