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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1699808436 NPPES
Tennessee MEDICAID 3881168

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