Averbeck, Theresa Ann
Averbeck, Theresa Ann is an individual health care provider with primary practice located at 979 E 3Rd St Suite B-1111, Chattanooga TN 37403-2136. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Averbeck, Theresa Ann can be contacted via phone (423) 778-7036.Contact Information
Primary practice address
979 E 3Rd St Suite B-1111
Chattanooga TN 37403-2136
Phone: (423) 778-7036
Fax: (423) 778-7832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | LDN0000001178 | Tennessee |
Profile Details
| NPI number | 1699808436 |
|---|---|
| LBN Legal business name | Averbeck, Theresa Ann |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699808436 | NPPES |
| Tennessee | MEDICAID | 3881168 |
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