Vacheresse, Theresa Lynn
Vacheresse, Theresa Lynn is an individual health care provider with primary practice located at 2525 Tiller Ln Suite 105, Columbus OH 43231-2267. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Vacheresse, Theresa Lynn can be contacted via phone (614) 901-0000.Contact Information
Primary practice address
2525 Tiller Ln Suite 105
Columbus OH 43231-2267
Phone: (614) 901-0000
Fax: (614) 901-4117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36003295 | Ohio |
Profile Details
| NPI number | 1982609582 |
|---|---|
| LBN Legal business name | Vacheresse, Theresa Lynn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Dec 29th, 2011 - about 15 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 | 1982609582 | NPPES |
| Ohio | MEDICAID | 2305991 |
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