Anderson, Teresa J

Anderson, Teresa J is an individual health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Anderson, Teresa J can be contacted via phone (505) 727-6200.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 466 New Mexico

Profile Details

NPI number 1417295916
LBN Legal business name Anderson, Teresa J
Credentials RD LD CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Apr 17th, 2017 - about 8 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 1417295916 NPPES
New Mexico MEDICAID 56808879

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