Andersen, Teresa

Andersen, Teresa is an individual health care provider with primary practice located at 15002 N 32Nd St , Phoenix AZ 85032-4441. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Andersen, Teresa can be contacted via phone (602) 867-5223.

Contact Information

Primary practice address
15002 N 32Nd St Phoenix AZ 85032-4441
Phone: (602) 867-5223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1301 Arizona

Profile Details

NPI number 1477652980
LBN Legal business name Andersen, Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 9th, 2007 - about 18 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 1477652980 NPPES
Arizona MEDICAID 049131

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